| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,301.82 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,373.56 | $9,759.68 | $13,222.82 | |
Health Alliance Plan
| Facility | $1,979.42 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |