| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,281.68 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $15,452.64 | $18,037.88 | $24,572.56 | |
Health Alliance Plan
| Facility | $3,533.58 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |