| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,349.30 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,806.14 | $5,627.39 | $7,769.16 | |
Health Alliance Plan
| Facility | $1,097.19 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |