| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,644.42 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $10,466.54 | $15,474.83 | $21,364.51 | |
Health Alliance Plan
| Facility | $2,982.34 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |