| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,824.00 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,504.23 | $7,580.90 | $10,270.92 | |
Health Alliance Plan
| Facility | $1,495.94 | $4,933.00 | $4,933.00 | |
United
| Facility | $4,342.50 | $7,800.00 | $10,652.00 |