| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,933.00 | $4,933.00 | $6,953.40 | |
BCBS
| Facility | $24,674.61 | $29,298.09 | $40,240.25 | |
Health Alliance Plan
| Facility | $4,933.00 | $4,933.00 | $6,906.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |