| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,003.63 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $4,071.96 | $4,753.21 | $6,475.17 | |
Health Alliance Plan
| Facility | $800.80 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,984.66 | $7,935.00 | $10,652.00 |