| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,080.00 | $1,176.00 | $4,933.00 | |
BCBS
| Facility | $3,532.37 | $4,117.10 | $5,578.02 | |
Health Alliance Plan
| Facility | $867.55 | $1,080.00 | $6,906.00 | |
United
| Facility | $3,500.00 | $8,030.00 | $12,726.00 |