| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,514.17 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,337.18 | $6,412.54 | $8,853.14 | |
Health Alliance Plan
| Facility | $1,230.94 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |