| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,110.53 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,551.13 | $8,801.11 | $11,924.10 | |
Health Alliance Plan
| Facility | $1,758.28 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |