| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.72 | $4,933.00 | $20,186.04 | |
BCBS
| Facility | $10,994.42 | $15,017.71 | $34,605.61 | |
Health Alliance Plan
| Facility | $375.16 | $4,112.00 | $20,186.04 | |
United
| Facility | $7,174.00 | $12,733.00 | $27,028.00 |