| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,349.72 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,361.34 | $13,840.77 | $19,108.54 | |
Health Alliance Plan
| Facility | $2,639.90 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |