| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,079.70 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $3,715.55 | $5,493.44 | $7,584.24 | |
Health Alliance Plan
| Facility | $870.31 | $4,933.00 | $6,853.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,351.00 |