| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,142.78 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $12,551.80 | $14,651.74 | $19,959.68 | |
Health Alliance Plan
| Facility | $2,756.54 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |