| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Health Alliance Plan
| Facility | $851.14 | $1,995.26 | $6,918.31 | |
United
| Facility | $4,265.80 | $7,585.78 | $14,454.40 |