| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,559.47 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,644.08 | $6,578.37 | $8,912.65 | |
Health Alliance Plan
| Facility | $1,332.40 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |