| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,039.26 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,014.76 | $4,686.43 | $6,384.20 | |
Health Alliance Plan
| Facility | $953.19 | $4,933.00 | $6,853.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |