| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,951.17 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,178.04 | $8,378.93 | $11,414.41 | |
Health Alliance Plan
| Facility | $1,665.44 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |