| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.76 | $5,754.40 | $23,988.33 | |
BCBS
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
Health Alliance Plan
| Facility | $2,187.76 | $5,754.40 | $19,952.62 | |
United
| Facility | $5,754.40 | $12,022.64 | $30,199.52 |