| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,801.00 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $915.30 | $1,335.30 | $2,984.88 | |
Health Alliance Plan
| Facility | $1,503.39 | $4,933.00 | $6,853.00 | |
United
| Facility | $5,000.00 | $10,192.00 | $14,705.00 |