| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,465.41 | $4,933.00 | $8,600.58 | |
BCBS
| Facility | $8,306.33 | $9,681.32 | $13,116.65 | |
Health Alliance Plan
| Facility | $1,158.47 | $4,933.00 | $8,060.00 | |
United
| Facility | $4,044.30 | $7,800.00 | $10,652.00 |