| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,430.30 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,235.81 | $6,262.66 | $8,646.21 | |
Health Alliance Plan
| Facility | $1,201.08 | $4,933.00 | $19,807.97 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |