| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,699.07 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $10,945.77 | $12,757.68 | $17,284.63 | |
Health Alliance Plan
| Facility | $2,459.46 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,806.00 | $8,884.00 |