| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $770.83 | $4,933.00 | $17,267.31 | |
BCBS
| Facility | $30,393.35 | $35,672.85 | $48,331.05 | |
Health Alliance Plan
| Facility | $645.05 | $2,877.00 | $15,181.61 | |
United
| Facility | $4,642.00 | $11,869.00 | $25,069.00 |