| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $199.53 | $199.53 | $1,000.00 | |
Health Alliance Plan
| Facility | $831.76 | $4,786.30 | $6,918.31 | |
United
| Facility | $4,265.80 | $7,413.10 | $14,454.40 |