| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,335.55 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,510.50 | $9,988.83 | $13,533.28 | |
Health Alliance Plan
| Facility | $1,949.13 | $2,335.55 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |