| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,026.44 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,474.87 | $4,056.22 | $5,525.68 | |
Health Alliance Plan
| Facility | $775.25 | $4,933.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |