| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,315.50 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,867.80 | $5,682.19 | $7,740.71 | |
Health Alliance Plan
| Facility | $1,050.77 | $4,933.00 | $5,757.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |