| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,276.80 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,634.64 | $5,406.16 | $7,606.08 | |
Health Alliance Plan
| Facility | $1,091.49 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |