| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,372.45 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,944.28 | $5,831.63 | $8,051.14 | |
Health Alliance Plan
| Facility | $1,123.22 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |