| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,005.92 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,366.79 | $8,599.26 | $11,714.56 | |
Health Alliance Plan
| Facility | $1,708.93 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |