| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,114.95 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,103.16 | $4,789.62 | $6,524.78 | |
Health Alliance Plan
| Facility | $947.73 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |