| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,145.83 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,117.55 | $4,258.38 | $9,812.68 | |
Health Alliance Plan
| Facility | $916.91 | $4,933.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,780.00 | $10,556.00 |