| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,054.40 | $2,157.12 | $4,933.00 | |
BCBS
| Facility | $5,841.66 | $8,636.91 | $11,924.10 | |
Health Alliance Plan
| Facility | $1,654.72 | $2,157.12 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |