| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,189.21 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,634.69 | $3,070.82 | $4,160.47 | |
Health Alliance Plan
| Facility | $978.33 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,500.00 | $10,556.00 |