| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,438.55 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,245.04 | $6,118.16 | $8,607.79 | |
Health Alliance Plan
| Facility | $1,230.51 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |