| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,933.00 | $4,933.00 | $5,743.87 | |
BCBS
| Facility | $20,159.38 | $23,532.07 | $32,057.14 | |
Health Alliance Plan
| Facility | $4,658.67 | $4,933.00 | $5,531.14 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |