| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,759.02 | $4,184.89 | $4,933.00 | |
BCBS
| Facility | $4,989.93 | $7,377.62 | $10,185.53 | |
Health Alliance Plan
| Facility | $1,414.79 | $4,184.89 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |