| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,518.09 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,245.87 | $10,851.94 | $14,702.65 | |
Health Alliance Plan
| Facility | $2,080.62 | $2,518.09 | $4,933.00 | |
United
| Facility | $1,244.00 | $3,869.00 | $6,036.00 |