| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,224.47 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,500.10 | $5,252.98 | $7,156.01 | |
Health Alliance Plan
| Facility | $1,036.25 | $4,933.00 | $4,933.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |