| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,784.35 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,142.07 | $12,038.07 | $16,136.69 | |
Health Alliance Plan
| Facility | $2,253.63 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |