| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,103.63 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $4,414.54 | $5,181.37 | $7,019.93 | |
Health Alliance Plan
| Facility | $892.62 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |