| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.35 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,076.69 | $10,595.24 | $14,433.62 | |
Health Alliance Plan
| Facility | $2,092.15 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |