| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,909.98 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,277.67 | $12,238.55 | $16,405.43 | |
Health Alliance Plan
| Facility | $2,343.66 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,713.00 | $3,869.00 | $5,525.00 |