| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.36 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,802.84 | $5,597.88 | $7,584.24 | |
Health Alliance Plan
| Facility | $1,217.18 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |