| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,024.73 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,080.89 | $13,157.20 | $18,071.11 | |
Health Alliance Plan
| Facility | $2,441.00 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |