| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,246.27 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,717.42 | $13,667.98 | $19,229.84 | |
Health Alliance Plan
| Facility | $2,722.86 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |