| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,543.36 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,413.26 | $6,525.01 | $9,008.42 | |
Health Alliance Plan
| Facility | $1,252.21 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |