| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,639.56 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,636.71 | $11,231.93 | $15,217.48 | |
Health Alliance Plan
| Facility | $1,909.91 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |