| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,146.89 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $6,279.79 | $7,370.62 | $9,986.02 | |
Health Alliance Plan
| Facility | $828.13 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |