| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,506.40 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,517.93 | $6,431.34 | $8,713.44 | |
Health Alliance Plan
| Facility | $1,286.45 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |