| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,592.69 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,752.68 | $5,539.41 | $7,505.03 | |
Health Alliance Plan
| Facility | $1,365.10 | $4,933.00 | $4,933.00 | |
United
| Facility | $5,000.00 | $10,192.00 | $14,705.00 |