| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,362.09 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,512.82 | $9,921.99 | $13,442.72 | |
Health Alliance Plan
| Facility | $2,123.10 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |