| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,467.29 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,155.95 | $6,144.59 | $8,483.20 | |
Health Alliance Plan
| Facility | $1,177.06 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |