| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,136.41 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,388.55 | $13,293.87 | $18,109.90 | |
Health Alliance Plan
| Facility | $2,659.66 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |