| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,607.38 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,660.39 | $6,890.42 | $9,512.90 | |
Health Alliance Plan
| Facility | $1,319.58 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |