| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,682.56 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,221.42 | $7,262.28 | $9,893.21 | |
Health Alliance Plan
| Facility | $1,343.21 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |