| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $4,897.79 | $12,302.69 | |
BCBS
| Facility | $354.81 | $1,778.28 | $1,778.28 | |
Health Alliance Plan
| Facility | $1,412.54 | $4,897.79 | $6,918.31 | |
United
| Facility | $4,265.80 | $7,585.78 | $14,791.08 |