| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,817.39 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $10,097.10 | $11,768.52 | $15,944.48 | |
Health Alliance Plan
| Facility | $2,359.42 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |