| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,374.48 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $12,094.25 | $14,096.27 | $19,098.21 | |
Health Alliance Plan
| Facility | $2,813.78 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |