| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,818.18 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,766.22 | $13,970.96 | $19,188.78 | |
Health Alliance Plan
| Facility | $2,725.48 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |