| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,053.83 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,552.27 | $8,815.78 | $12,009.51 | |
Health Alliance Plan
| Facility | $1,739.66 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |