| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,185.86 | $5,757.00 | $16,553.25 | |
BCBS
| Facility | $22,280.31 | $26,150.54 | $35,429.83 | |
Health Alliance Plan
| Facility | $1,793.85 | $5,757.00 | $20,111.95 | |
United
| Facility | $4,561.00 | $9,975.00 | $12,767.00 |