| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,427.60 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,213.18 | $6,076.16 | $8,232.23 | |
Health Alliance Plan
| Facility | $1,225.52 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |