| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,809.59 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,248.52 | $12,195.45 | $16,347.66 | |
Health Alliance Plan
| Facility | $2,289.89 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |