| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,933.00 | $4,933.00 | $5,628.25 | |
BCBS
| Facility | $19,506.11 | $22,735.05 | $30,802.38 | |
Health Alliance Plan
| Facility | $4,519.70 | $4,933.00 | $5,427.24 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |