| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.45 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $5,280.42 | $6,163.85 | $8,396.85 | |
Health Alliance Plan
| Facility | $895.00 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |