| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,986.89 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,699.70 | $8,427.02 | $11,634.33 | |
Health Alliance Plan
| Facility | $1,617.14 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |