| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,006.26 | $4,933.00 | $6,078.52 | |
BCBS
| Facility | $3,614.65 | $4,213.00 | $5,707.94 | |
Health Alliance Plan
| Facility | $776.11 | $4,933.00 | $6,078.52 | |
United
| Facility | $3,054.00 | $6,649.00 | $9,202.00 |