| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,213.63 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,476.60 | $13,376.38 | $18,122.87 | |
Health Alliance Plan
| Facility | $2,680.79 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |