| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,097.27 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,176.14 | $4,867.45 | $6,594.62 | |
Health Alliance Plan
| Facility | $954.75 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |