| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,707.03 | $5,796.05 | $33,428.15 | |
BCBS
| Facility | $10,050.93 | $11,732.46 | $15,982.83 | |
Health Alliance Plan
| Facility | $1,373.95 | $6,853.00 | $33,428.15 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |