| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,018.79 | $4,894.91 | $6,853.00 | |
BCBS
| Facility | $2,550.42 | $2,972.61 | $4,027.41 | |
Health Alliance Plan
| Facility | $777.62 | $4,894.91 | $6,853.00 | |
United
| Facility | $1,450.00 | $5,708.00 | $8,884.00 |