| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,745.43 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,041.92 | $11,890.00 | $16,415.31 | |
Health Alliance Plan
| Facility | $2,210.16 | $4,933.00 | $4,933.00 | |
United
| Facility | $2,248.00 | $4,985.00 | $7,238.00 |