| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,118.40 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $22,674.73 | $26,613.46 | $36,057.01 | |
Health Alliance Plan
| Facility | $896.15 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $12,500.00 |