| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,657.98 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,889.78 | $7,229.55 | $9,981.11 | |
Health Alliance Plan
| Facility | $1,337.82 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |