| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,812.32 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,592.71 | $7,684.04 | $10,410.65 | |
Health Alliance Plan
| Facility | $1,553.35 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |