| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,166.09 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,532.37 | $4,117.10 | $5,578.02 | |
Health Alliance Plan
| Facility | $784.82 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,708.00 | $8,884.00 |