| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,027.43 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $10,989.96 | $12,898.99 | $17,476.08 | |
Health Alliance Plan
| Facility | $2,516.25 | $3,027.43 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |