| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.28 | $4,933.00 | $17,025.39 | |
BCBS
| Facility | $11,228.81 | $13,179.33 | $17,855.89 | |
Health Alliance Plan
| Facility | $900.68 | $4,933.00 | $17,025.39 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |