| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.16 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,044.70 | $5,989.97 | $8,227.08 | |
Health Alliance Plan
| Facility | $1,147.72 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |