| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,766.79 | $3,457.72 | $12,387.71 | |
BCBS
| Facility | $5,110.10 | $5,965.03 | $8,126.01 | |
Health Alliance Plan
| Facility | $1,518.06 | $4,933.00 | $9,594.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |