| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,019.47 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,901.18 | $4,289.39 | $5,921.94 | |
Health Alliance Plan
| Facility | $820.55 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |