| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,579.61 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,527.37 | $11,129.23 | $15,365.00 | |
Health Alliance Plan
| Facility | $2,139.36 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |