| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,675.97 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,716.08 | $11,341.59 | $15,450.36 | |
Health Alliance Plan
| Facility | $2,242.17 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |