| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,220.10 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,355.31 | $5,111.85 | $6,925.75 | |
Health Alliance Plan
| Facility | $970.61 | $1,220.10 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |