| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,066.68 | $1,066.68 | $6,906.00 | |
BCBS
| Facility | $1,852.42 | $2,159.06 | $2,925.19 | |
Health Alliance Plan
| Facility | $933.87 | $1,066.68 | $6,906.00 | |
United
| Facility | $1,527.00 | $3,640.00 | $6,740.00 |