| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,034.88 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,818.44 | $4,457.27 | $6,072.02 | |
Health Alliance Plan
| Facility | $903.59 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |