| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,922.19 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $5,476.62 | $8,097.20 | $10,854.07 | |
Health Alliance Plan
| Facility | $1,566.38 | $4,933.00 | $6,853.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |