| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $257.04 | $1,288.25 | $1,288.25 | |
Health Alliance Plan
| Facility | $1,096.48 | $2,630.27 | $6,918.31 | |
United
| Facility | $4,265.80 | $7,413.10 | $12,882.50 |