| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,449.74 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $15,962.36 | $18,604.68 | $25,206.40 | |
Health Alliance Plan
| Facility | $3,720.02 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |