| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,155.11 | $4,933.00 | $6,906.00 | |
BCBS
| Facility | $3,259.33 | $3,825.49 | $5,182.93 | |
Health Alliance Plan
| Facility | $876.42 | $4,933.00 | $6,989.53 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |