| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,887.58 | $4,933.00 | $8,204.36 | |
BCBS
| Facility | $3,701.20 | $4,313.87 | $5,844.61 | |
Health Alliance Plan
| Facility | $1,309.34 | $4,933.00 | $8,060.00 | |
United
| Facility | $2,500.00 | $7,500.00 | $10,556.00 |