| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,520.56 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,346.08 | $6,425.68 | $8,613.45 | |
Health Alliance Plan
| Facility | $1,228.43 | $4,933.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |