| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,027.38 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,769.62 | $4,400.29 | $5,994.40 | |
Health Alliance Plan
| Facility | $863.60 | $4,933.00 | $4,933.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |