| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,112.42 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,991.33 | $4,739.22 | $6,509.21 | |
Health Alliance Plan
| Facility | $900.57 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |