| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,742.21 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,188.46 | $7,348.04 | $10,092.36 | |
Health Alliance Plan
| Facility | $1,407.57 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |