| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,286.21 | $11,162.20 | $36,910.46 | |
BCBS
| Facility | $15,311.70 | $21,610.24 | $51,012.13 | |
Health Alliance Plan
| Facility | $1,286.21 | $6,853.00 | $32,775.26 | |
United
| Facility | $7,489.00 | $11,732.00 | $15,469.00 |