| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,159.76 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,327.67 | $5,079.41 | $6,881.79 | |
Health Alliance Plan
| Facility | $986.26 | $1,159.76 | $4,933.00 | |
United
| Facility | $4,699.00 | $10,395.00 | $13,752.00 |