| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,070.21 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $1,474.43 | $1,990.96 | $4,675.50 | |
Health Alliance Plan
| Facility | $1,096.84 | $4,933.00 | $5,757.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |