| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.64 | $2,877.00 | $5,852.10 | |
BCBS
| Facility | $4,088.07 | $4,798.18 | $6,500.78 | |
Health Alliance Plan
| Facility | $1,022.21 | $2,877.00 | $5,852.10 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |