| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,789.75 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,645.11 | $7,745.11 | $10,493.39 | |
Health Alliance Plan
| Facility | $1,528.36 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,713.00 | $4,056.00 | $6,036.00 |