| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,754.67 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,770.68 | $5,568.82 | $7,586.26 | |
Health Alliance Plan
| Facility | $1,399.85 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |