| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.34 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,386.26 | $7,443.41 | $10,084.64 | |
Health Alliance Plan
| Facility | $1,431.28 | $4,933.00 | $4,933.00 | |
United
| Facility | $3,054.00 | $6,649.00 | $9,202.00 |