| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,045.66 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,795.63 | $4,454.96 | $6,035.76 | |
Health Alliance Plan
| Facility | $840.39 | $4,933.00 | $6,906.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |