| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.79 | $1,429.87 | $4,933.00 | |
BCBS
| Facility | $3,888.51 | $5,749.17 | $7,937.30 | |
Health Alliance Plan
| Facility | $1,103.98 | $1,429.87 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |