| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,712.81 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,932.44 | $11,594.15 | $15,794.42 | |
Health Alliance Plan
| Facility | $2,287.69 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |