| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,389.05 | $1,440.50 | $6,906.00 | |
BCBS
| Facility | $4,138.46 | $5,656.91 | $13,045.28 | |
Health Alliance Plan
| Facility | $1,011.89 | $1,389.05 | $6,906.00 | |
United
| Facility | $3,500.00 | $8,030.00 | $12,726.00 |