| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,390.04 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,989.93 | $5,899.12 | $8,144.31 | |
Health Alliance Plan
| Facility | $1,132.41 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |