| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,434.79 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $16,287.27 | $19,012.15 | $25,899.78 | |
Health Alliance Plan
| Facility | $3,774.39 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |