| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,836.70 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,608.94 | $7,709.11 | $10,846.15 | |
Health Alliance Plan
| Facility | $1,554.08 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |