| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,190.78 | $9,694.33 | $26,224.95 | |
BCBS
| Facility | $9,472.87 | $11,057.70 | $15,063.63 | |
Health Alliance Plan
| Facility | $1,182.67 | $6,853.00 | $20,335.52 | |
United
| Facility | $4,700.00 | $10,359.00 | $12,767.00 |