| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,458.93 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,285.29 | $6,160.19 | $8,346.07 | |
Health Alliance Plan
| Facility | $1,249.51 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |