| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,142.16 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,804.42 | $9,110.11 | $12,410.48 | |
Health Alliance Plan
| Facility | $1,795.60 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |