| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,014.78 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,714.91 | $8,449.52 | $11,665.39 | |
Health Alliance Plan
| Facility | $1,622.88 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |