| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,198.16 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,088.85 | $13,437.89 | $18,552.32 | |
Health Alliance Plan
| Facility | $2,572.09 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |