| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,967.28 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,769.39 | $5,567.33 | $7,584.24 | |
Health Alliance Plan
| Facility | $1,697.39 | $4,933.00 | $6,853.00 | |
United
| Facility | $4,069.00 | $7,935.00 | $10,652.00 |