| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,708.62 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,083.17 | $7,090.15 | $9,606.02 | |
Health Alliance Plan
| Facility | $1,438.64 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |