| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Health Alliance Plan
| Facility | $954.99 | $2,238.72 | $6,918.31 | |
United
| Facility | $4,265.80 | $7,413.10 | $14,454.40 |