| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,080.99 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,317.94 | $4,480.29 | $10,521.36 | |
Health Alliance Plan
| Facility | $867.93 | $3,257.35 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |