| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.98 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,986.16 | $4,733.08 | $6,500.78 | |
Health Alliance Plan
| Facility | $823.73 | $4,933.00 | $5,757.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,351.00 |