| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.51 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,188.93 | $7,671.85 | $10,283.89 | |
Health Alliance Plan
| Facility | $1,470.59 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |