| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,563.58 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $5,736.58 | $6,696.31 | $9,122.21 | |
Health Alliance Plan
| Facility | $1,282.36 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |