| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,293.08 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,731.13 | $5,522.66 | $7,523.38 | |
Health Alliance Plan
| Facility | $1,087.73 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |