| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,455.42 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $8,939.00 | $12,022.85 | $28,494.62 | |
Health Alliance Plan
| Facility | $1,163.86 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,635.00 | $11,152.00 | $19,256.00 |