| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.75 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,426.39 | $7,501.54 | $10,219.15 | |
Health Alliance Plan
| Facility | $1,434.41 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,796.00 | $4,857.00 | $6,327.00 |