| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,989.59 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,069.69 | $12,921.66 | $17,602.84 | |
Health Alliance Plan
| Facility | $2,388.15 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |