| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,404.71 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,546.22 | $6,474.11 | $8,819.52 | |
Health Alliance Plan
| Facility | $1,180.08 | $4,933.00 | $4,933.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |