| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,047.92 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,535.98 | $8,796.76 | $11,983.61 | |
Health Alliance Plan
| Facility | $1,745.35 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |