| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.40 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,361.71 | $3,491.80 | $4,820.78 | |
Health Alliance Plan
| Facility | $952.35 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,149.55 | $6,978.00 | $8,911.00 |