| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.81 | $4,933.00 | $8,361.00 | |
BCBS
| Facility | $3,946.77 | $4,600.09 | $6,232.40 | |
Health Alliance Plan
| Facility | $861.68 | $4,933.00 | $8,361.00 | |
United
| Facility | $6,850.00 | $11,464.00 | $15,011.00 |