| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,801.39 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,154.78 | $16,492.37 | $22,769.34 | |
Health Alliance Plan
| Facility | $3,070.32 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |