| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $2,691.53 | $2,691.53 | $2,691.53 | |
Health Alliance Plan
| Facility | $1,513.56 | $3,715.35 | $6,918.31 | |
United
| Facility | $4,073.80 | $7,943.28 | $14,791.08 |