| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.13 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,623.26 | $7,731.34 | $10,532.21 | |
Health Alliance Plan
| Facility | $1,451.32 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |