| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,789.86 | $5,757.00 | $13,221.13 | |
BCBS
| Facility | $5,091.33 | $7,527.54 | $10,090.45 | |
Health Alliance Plan
| Facility | $1,448.93 | $5,757.00 | $13,221.13 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,351.00 |