| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,383.91 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,558.75 | $5,313.39 | $7,198.79 | |
Health Alliance Plan
| Facility | $1,109.47 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |