| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,194.15 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,100.52 | $9,507.62 | $12,881.33 | |
Health Alliance Plan
| Facility | $1,841.23 | $2,194.15 | $4,933.00 | |
United
| Facility | $850.00 | $4,809.00 | $20,268.00 |