| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,832.36 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,672.96 | $7,777.57 | $10,537.37 | |
Health Alliance Plan
| Facility | $1,574.07 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |