| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,509.52 | $4,933.00 | $9,594.00 | |
BCBS
| Facility | $5,438.86 | $6,348.79 | $8,648.79 | |
Health Alliance Plan
| Facility | $1,159.19 | $4,933.00 | $6,853.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |