| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,234.97 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,268.29 | $4,974.84 | $6,740.11 | |
Health Alliance Plan
| Facility | $1,270.63 | $4,933.00 | $6,906.00 | |
United
| Facility | $3,153.22 | $7,800.00 | $10,652.00 |