| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,102.86 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $11,354.39 | $13,326.72 | $18,055.58 | |
Health Alliance Plan
| Facility | $2,536.92 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |