| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,524.98 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,306.82 | $10,803.15 | $14,481.32 | |
Health Alliance Plan
| Facility | $2,067.48 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |