| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,490.36 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,429.11 | $6,337.41 | $8,633.29 | |
Health Alliance Plan
| Facility | $1,242.15 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |