| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,082.69 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $7,664.49 | $8,946.77 | $12,187.96 | |
Health Alliance Plan
| Facility | $1,113.99 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,750.00 | $10,032.00 | $12,767.00 |