| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,072.22 | $4,933.00 | $14,292.22 | |
BCBS
| Facility | $4,188.18 | $4,915.68 | $6,659.98 | |
Health Alliance Plan
| Facility | $846.24 | $4,933.00 | $14,292.22 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |