| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,814.34 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,592.35 | $7,695.26 | $10,483.06 | |
Health Alliance Plan
| Facility | $1,500.79 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |