| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,065.00 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,322.81 | $3,900.01 | $5,283.89 | |
Health Alliance Plan
| Facility | $865.71 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $6,978.00 | $9,202.00 |