| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,422.72 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $12,599.66 | $18,628.62 | $25,718.64 | |
Health Alliance Plan
| Facility | $3,581.95 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |