| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,696.66 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,468.69 | $7,550.92 | $10,286.42 | |
Health Alliance Plan
| Facility | $1,370.76 | $4,933.00 | $4,933.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |