| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,105.33 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $8,331.81 | $9,725.73 | $13,249.11 | |
Health Alliance Plan
| Facility | $967.13 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |