| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,623.59 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $12,987.15 | $15,136.97 | $20,508.20 | |
Health Alliance Plan
| Facility | $3,012.00 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,820.00 | $3,869.00 | $6,327.00 |