| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,111.88 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,128.64 | $4,812.07 | $6,519.59 | |
Health Alliance Plan
| Facility | $941.58 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |