| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,324.10 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,279.79 | $7,370.62 | $9,986.02 | |
Health Alliance Plan
| Facility | $1,913.84 | $2,324.10 | $4,933.00 | |
United
| Facility | $4,635.00 | $11,152.00 | $20,268.00 |