| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,070.68 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,125.97 | $12,967.71 | $17,569.18 | |
Health Alliance Plan
| Facility | $2,480.23 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |