| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,091.42 | $1,131.84 | $6,906.00 | |
BCBS
| Facility | $3,686.10 | $4,296.28 | $5,820.77 | |
Health Alliance Plan
| Facility | $875.18 | $1,091.42 | $6,906.00 | |
United
| Facility | $3,500.00 | $8,030.00 | $12,726.00 |