| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,295.90 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,665.45 | $5,419.38 | $7,481.99 | |
Health Alliance Plan
| Facility | $1,043.31 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |