| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,599.20 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,959.47 | $6,956.49 | $9,476.66 | |
Health Alliance Plan
| Facility | $1,295.42 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |