| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,163.19 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,086.27 | $8,998.57 | $12,062.33 | |
Health Alliance Plan
| Facility | $1,738.31 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |