| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,594.76 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,760.15 | $6,839.48 | $9,393.86 | |
Health Alliance Plan
| Facility | $1,350.83 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |