| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,435.17 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,980.68 | $10,540.68 | $14,280.94 | |
Health Alliance Plan
| Facility | $2,084.84 | $2,435.17 | $4,933.00 | |
United
| Facility | $5,356.00 | $11,464.00 | $14,085.00 |