| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,268.57 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $15,366.02 | $17,909.64 | $24,264.72 | |
Health Alliance Plan
| Facility | $3,572.73 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |