| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,224.68 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,906.85 | $6,707.24 | $15,467.43 | |
Health Alliance Plan
| Facility | $1,127.49 | $4,933.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |