| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,556.61 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,071.50 | $10,573.16 | $14,324.95 | |
Health Alliance Plan
| Facility | $1,991.87 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |