| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,562.49 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,655.24 | $6,601.36 | $8,992.87 | |
Health Alliance Plan
| Facility | $1,236.86 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |