| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,443.01 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,279.41 | $6,162.67 | $8,395.24 | |
Health Alliance Plan
| Facility | $1,223.95 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |