| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,507.24 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $15,691.02 | $18,288.43 | $24,777.92 | |
Health Alliance Plan
| Facility | $3,727.62 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |