| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,086.90 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,088.77 | $4,566.76 | $6,304.86 | |
Health Alliance Plan
| Facility | $879.05 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |