| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.16 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $4,366.83 | $5,097.41 | $6,944.08 | |
Health Alliance Plan
| Facility | $964.82 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,141.70 | $15,441.57 |