| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.00 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,412.50 | $3,566.89 | $4,781.32 | |
Health Alliance Plan
| Facility | $951.44 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,149.55 | $6,978.00 | $8,911.00 |