| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,366.09 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,289.18 | $6,174.06 | $8,410.77 | |
Health Alliance Plan
| Facility | $1,138.23 | $4,933.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |