| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,413.13 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,207.82 | $6,079.10 | $8,281.40 | |
Health Alliance Plan
| Facility | $1,129.11 | $4,933.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |