| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,720.85 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,829.95 | $11,537.48 | $15,631.45 | |
Health Alliance Plan
| Facility | $2,272.32 | $2,720.85 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |