| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,593.48 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $13,147.28 | $15,346.84 | $20,906.61 | |
Health Alliance Plan
| Facility | $3,048.66 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |