| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,218.83 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,968.13 | $5,799.31 | $7,900.25 | |
Health Alliance Plan
| Facility | $730.93 | $4,933.00 | $4,933.00 | |
United
| Facility | $2,248.00 | $5,202.00 | $8,339.00 |