| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,908.25 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,124.37 | $8,361.92 | $11,329.07 | |
Health Alliance Plan
| Facility | $1,702.83 | $1,908.25 | $4,933.00 | |
United
| Facility | $850.00 | $4,809.00 | $20,268.00 |