| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,240.65 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $4,100.51 | $4,779.29 | $6,475.17 | |
Health Alliance Plan
| Facility | $986.72 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,054.00 | $6,873.00 | $8,911.00 |