| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,528.84 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $5,656.88 | $6,603.29 | $8,995.49 | |
Health Alliance Plan
| Facility | $1,222.08 | $4,933.00 | $5,757.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |