| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,850.68 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,776.20 | $7,909.87 | $10,775.42 | |
Health Alliance Plan
| Facility | $1,602.25 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |