| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,455.62 | $4,617.00 | $4,933.00 | |
BCBS
| Facility | $5,328.21 | $6,219.63 | $8,472.85 | |
Health Alliance Plan
| Facility | $1,227.85 | $4,617.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |