| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,249.33 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $2,253.66 | $2,626.71 | $3,558.78 | |
Health Alliance Plan
| Facility | $882.97 | $4,933.00 | $5,757.00 | |
United
| Facility | $1,450.00 | $5,708.00 | $8,884.00 |