| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,307.38 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $17,274.59 | $20,164.66 | $27,469.82 | |
Health Alliance Plan
| Facility | $1,038.18 | $4,933.00 | $5,757.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |