| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,138.70 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $9,229.29 | $12,549.89 | $29,471.75 | |
Health Alliance Plan
| Facility | $796.29 | $2,877.00 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |