| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.07 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,430.99 | $5,072.72 | $7,003.40 | |
Health Alliance Plan
| Facility | $974.74 | $4,933.00 | $5,757.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |