| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,623.25 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,831.57 | $11,476.41 | $15,634.02 | |
Health Alliance Plan
| Facility | $2,118.42 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |