| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,343.36 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,919.85 | $5,742.95 | $7,823.48 | |
Health Alliance Plan
| Facility | $1,067.42 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |