| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,161.66 | $2,693.00 | $4,933.00 | |
BCBS
| Facility | $2,807.80 | $3,272.59 | $4,433.84 | |
Health Alliance Plan
| Facility | $933.11 | $2,693.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,500.00 | $10,556.00 |