| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,917.96 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $10,452.64 | $12,182.91 | $16,505.91 | |
Health Alliance Plan
| Facility | $2,442.36 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |