| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,971.93 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $10,770.34 | $12,641.21 | $17,126.83 | |
Health Alliance Plan
| Facility | $2,383.69 | $2,971.93 | $4,933.00 | |
United
| Facility | $1,244.00 | $3,869.00 | $6,036.00 |