| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,653.68 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,518.78 | $11,094.47 | $15,031.25 | |
Health Alliance Plan
| Facility | $2,162.08 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |