| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,067.93 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,583.18 | $5,349.96 | $7,288.11 | |
Health Alliance Plan
| Facility | $926.04 | $4,933.00 | $5,757.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |