| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,554.44 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,730.09 | $6,688.74 | $9,111.91 | |
Health Alliance Plan
| Facility | $1,291.47 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |