| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,385.04 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $5,007.72 | $5,845.52 | $7,963.20 | |
Health Alliance Plan
| Facility | $1,092.99 | $4,933.00 | $6,853.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |