| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,161.80 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $8,655.29 | $10,103.35 | $13,763.54 | |
Health Alliance Plan
| Facility | $1,852.41 | $4,933.00 | $6,853.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |