| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,242.01 | $4,511.18 | $28,407.29 | |
BCBS
| Facility | $9,756.36 | $11,388.61 | $15,514.41 | |
Health Alliance Plan
| Facility | $990.61 | $4,933.00 | $28,407.29 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |