| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,026.67 | $4,112.00 | $11,031.68 | |
BCBS
| Facility | $23,725.98 | $27,695.37 | $37,728.69 | |
Health Alliance Plan
| Facility | $820.04 | $4,112.00 | $8,305.04 | |
United
| Facility | $8,301.00 | $12,831.00 | $34,988.93 |