| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $288.40 | $1,047.13 | $1,047.13 | |
Health Alliance Plan
| Facility | $1,445.44 | $4,073.80 | $4,897.79 | |
United
| Facility | $4,265.80 | $7,413.10 | $12,882.50 |