| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,264.66 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,518.02 | $5,364.60 | $7,368.15 | |
Health Alliance Plan
| Facility | $1,030.91 | $4,933.00 | $5,757.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |