| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,244.55 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $12,125.58 | $14,154.20 | $19,281.91 | |
Health Alliance Plan
| Facility | $2,624.07 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |