| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,025.32 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,785.88 | $4,419.27 | $6,020.26 | |
Health Alliance Plan
| Facility | $874.78 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |