| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,290.17 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,684.46 | $5,447.48 | $7,302.19 | |
Health Alliance Plan
| Facility | $1,045.01 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,243.96 | $6,649.00 | $8,738.00 |