| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,517.99 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,752.68 | $5,539.41 | $7,505.03 | |
Health Alliance Plan
| Facility | $1,287.27 | $4,933.00 | $4,933.00 | |
United
| Facility | $4,237.12 | $10,032.00 | $12,767.00 |