| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,042.51 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,542.94 | $8,791.56 | $11,911.17 | |
Health Alliance Plan
| Facility | $1,678.93 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |