| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,157.14 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,356.02 | $13,255.90 | $18,058.18 | |
Health Alliance Plan
| Facility | $2,583.58 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |