| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,918.58 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,961.31 | $8,113.65 | $10,992.70 | |
Health Alliance Plan
| Facility | $1,632.00 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |