| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,149.75 | $1,193.97 | $4,933.00 | |
BCBS
| Facility | $3,882.99 | $4,525.76 | $6,131.69 | |
Health Alliance Plan
| Facility | $931.99 | $1,149.75 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |