| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,168.07 | $1,211.33 | $6,906.00 | |
BCBS
| Facility | $2,253.66 | $2,626.71 | $3,558.78 | |
Health Alliance Plan
| Facility | $780.43 | $1,168.07 | $6,906.00 | |
United
| Facility | $1,700.61 | $5,311.15 | $8,339.00 |