| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,797.38 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,154.70 | $7,621.24 | $10,216.06 | |
Health Alliance Plan
| Facility | $1,465.95 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |