| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,558.30 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,639.16 | $6,572.64 | $8,904.89 | |
Health Alliance Plan
| Facility | $1,330.76 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |