| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,190.63 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,429.72 | $5,070.85 | $6,797.33 | |
Health Alliance Plan
| Facility | $983.53 | $4,933.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |