| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,086.08 | $4,933.00 | $29,152.56 | |
BCBS
| Facility | $29,136.83 | $34,198.08 | $46,332.96 | |
Health Alliance Plan
| Facility | $887.79 | $4,933.00 | $15,451.05 | |
United
| Facility | $5,356.00 | $11,392.00 | $13,668.00 |