| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $194.98 | $194.98 | $1,148.15 | |
Health Alliance Plan
| Facility | $954.99 | $4,073.80 | $5,623.41 | |
United
| Facility | $4,265.80 | $7,413.10 | $14,454.40 |