| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,389.44 | $4,933.00 | $5,184.76 | |
BCBS
| Facility | $6,783.37 | $10,029.21 | $13,443.89 | |
Health Alliance Plan
| Facility | $1,941.64 | $4,933.00 | $5,184.76 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |