| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,156.39 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,741.19 | $9,022.62 | $12,224.22 | |
Health Alliance Plan
| Facility | $1,794.35 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |