| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,450.46 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,863.54 | $10,346.43 | $14,094.69 | |
Health Alliance Plan
| Facility | $2,031.65 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |