| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,295.85 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,636.78 | $5,412.52 | $7,373.34 | |
Health Alliance Plan
| Facility | $1,006.90 | $4,933.00 | $5,757.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |