| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,469.89 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,470.43 | $6,375.98 | $8,638.43 | |
Health Alliance Plan
| Facility | $1,238.38 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |