| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,085.44 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,959.54 | $8,811.19 | $12,164.72 | |
Health Alliance Plan
| Facility | $1,686.84 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |