| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,050.74 | $2,877.00 | $9,357.49 | |
BCBS
| Facility | $2,742.66 | $4,055.03 | $5,435.65 | |
Health Alliance Plan
| Facility | $845.85 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |