| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,933.00 | $4,933.00 | $6,696.74 | |
BCBS
| Facility | $23,135.06 | $26,964.73 | $36,532.92 | |
Health Alliance Plan
| Facility | $4,933.00 | $5,348.05 | $6,457.57 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |