| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,740.88 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,725.32 | $6,669.10 | $15,742.78 | |
Health Alliance Plan
| Facility | $1,458.78 | $4,933.00 | $6,853.00 | |
United
| Facility | $4,635.00 | $9,143.00 | $12,767.00 |