| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $1,288.25 | $1,949.84 | $1,949.84 | |
Health Alliance Plan
| Facility | $1,445.44 | $4,073.80 | $4,897.79 | |
United
| Facility | $3,311.31 | $6,606.93 | $14,454.40 |