| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,113.57 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,769.39 | $5,567.33 | $7,584.24 | |
Health Alliance Plan
| Facility | $999.76 | $4,933.00 | $6,853.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |