| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,013.15 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $14,240.98 | $16,909.43 | $23,224.71 | |
Health Alliance Plan
| Facility | $3,231.10 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |