| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,075.03 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,099.89 | $4,785.81 | $6,519.59 | |
Health Alliance Plan
| Facility | $921.93 | $4,933.00 | $5,757.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |