| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,774.47 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $10,056.10 | $11,802.90 | $15,991.06 | |
Health Alliance Plan
| Facility | $2,320.46 | $2,774.47 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |