| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,232.06 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,859.84 | $10,342.10 | $14,088.78 | |
Health Alliance Plan
| Facility | $1,894.57 | $4,933.00 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |