| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,175.68 | $4,933.00 | $11,652.00 | |
BCBS
| Facility | $9,737.26 | $11,428.69 | $15,484.05 | |
Health Alliance Plan
| Facility | $910.38 | $4,698.00 | $11,652.00 | |
United
| Facility | $5,000.00 | $10,359.00 | $22,366.04 |