| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,409.91 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,021.60 | $5,945.95 | $8,208.95 | |
Health Alliance Plan
| Facility | $1,141.71 | $4,933.00 | $6,853.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |