| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,837.97 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,516.88 | $5,301.49 | $7,182.67 | |
Health Alliance Plan
| Facility | $2,730.35 | $3,837.97 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |