| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,052.15 | $4,933.00 | $6,906.00 | |
BCBS
| Facility | $5,893.62 | $8,713.73 | $12,030.16 | |
Health Alliance Plan
| Facility | $1,680.10 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |