| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,953.85 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,714.94 | $9,005.66 | $12,268.18 | |
Health Alliance Plan
| Facility | $1,652.22 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |