| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.30 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,420.39 | $5,159.93 | $7,029.26 | |
Health Alliance Plan
| Facility | $995.82 | $4,933.00 | $5,757.00 | |
United
| Facility | $2,248.00 | $4,894.00 | $7,355.00 |