| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $4,073.80 | $5,623.41 | |
BCBS
| Facility | $245.47 | $1,819.70 | $1,819.70 | |
Health Alliance Plan
| Facility | $1,348.96 | $4,073.80 | $5,623.41 | |
United
| Facility | $4,265.80 | $7,413.10 | $14,454.40 |