| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.48 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,451.36 | $8,697.99 | $11,849.05 | |
Health Alliance Plan
| Facility | $1,727.40 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |