| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,172.79 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,076.18 | $13,419.16 | $17,988.00 | |
Health Alliance Plan
| Facility | $2,656.10 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |