| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,279.97 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,844.30 | $5,752.01 | $7,900.25 | |
Health Alliance Plan
| Facility | $1,020.55 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |