| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,641.43 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,664.61 | $11,264.44 | $15,261.53 | |
Health Alliance Plan
| Facility | $2,203.38 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |