| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,232.59 | $4,933.00 | $8,060.00 | |
BCBS
| Facility | $4,426.89 | $5,195.88 | $7,039.59 | |
Health Alliance Plan
| Facility | $994.72 | $4,933.00 | $6,906.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |