| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,530.92 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,187.81 | $10,708.71 | $14,508.61 | |
Health Alliance Plan
| Facility | $2,167.31 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |