| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,444.41 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $3,401.93 | $5,029.76 | $6,944.08 | |
Health Alliance Plan
| Facility | $1,140.74 | $4,933.00 | $6,853.00 | |
United
| Facility | $4,200.00 | $10,192.00 | $12,767.00 |