| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $1,995.26 | $1,995.26 | $1,995.26 | |
Health Alliance Plan
| Facility | $1,122.02 | $4,073.80 | $4,897.79 | |
United
| Facility | $5,495.41 | $9,120.11 | $16,595.87 |