| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,168.69 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $11,578.91 | $13,590.24 | $18,412.62 | |
Health Alliance Plan
| Facility | $2,453.32 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |