| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,933.00 | $4,933.00 | $5,650.00 | |
BCBS
| Facility | $19,913.72 | $23,245.32 | $31,666.51 | |
Health Alliance Plan
| Facility | $4,640.18 | $4,933.00 | $5,440.74 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |