| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,595.34 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,463.90 | $11,047.22 | $15,049.35 | |
Health Alliance Plan
| Facility | $2,175.90 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |