| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,900.78 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,148.42 | $16,482.97 | $22,756.36 | |
Health Alliance Plan
| Facility | $3,144.88 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |