| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,019.39 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,088.07 | $4,798.18 | $6,500.78 | |
Health Alliance Plan
| Facility | $822.55 | $4,933.00 | $6,853.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |