| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,179.01 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,363.43 | $5,093.45 | $6,938.68 | |
Health Alliance Plan
| Facility | $1,009.51 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |