| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.71 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $4,483.83 | $5,262.70 | $7,130.12 | |
Health Alliance Plan
| Facility | $986.89 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |