| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,397.18 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,119.97 | $6,009.35 | $8,141.72 | |
Health Alliance Plan
| Facility | $1,192.81 | $1,397.18 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |