| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,481.27 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $8,382.35 | $9,784.73 | $13,329.50 | |
Health Alliance Plan
| Facility | $1,183.33 | $4,933.00 | $6,853.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |