| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,022.99 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,795.63 | $4,430.64 | $6,035.76 | |
Health Alliance Plan
| Facility | $874.78 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,713.00 | $4,056.00 | $6,036.00 |