| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,535.44 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,206.67 | $10,655.08 | $14,710.39 | |
Health Alliance Plan
| Facility | $2,044.60 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |