| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,933.00 | $4,933.00 | $6,443.49 | |
BCBS
| Facility | $23,034.18 | $26,887.83 | $36,628.62 | |
Health Alliance Plan
| Facility | $4,933.00 | $4,933.00 | $6,204.85 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |