| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.55 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,605.89 | $6,809.84 | $9,401.65 | |
Health Alliance Plan
| Facility | $1,309.26 | $4,933.00 | $5,757.00 | |
United
| Facility | $1,556.72 | $3,869.00 | $5,525.00 |