| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,647.41 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,961.93 | $6,948.84 | $9,414.58 | |
Health Alliance Plan
| Facility | $1,412.23 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |