| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,134.18 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,430.88 | $13,416.49 | $18,177.21 | |
Health Alliance Plan
| Facility | $2,554.56 | $3,134.18 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |