| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,474.24 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $12,955.31 | $15,205.73 | $20,601.34 | |
Health Alliance Plan
| Facility | $2,888.30 | $3,474.24 | $6,906.00 | |
United
| Facility | $1,855.74 | $7,800.00 | $10,351.00 |