| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $5,754.40 | $16,218.10 | |
BCBS
| Facility | $2,137.96 | $2,137.96 | $3,162.28 | |
Health Alliance Plan
| Facility | $1,905.46 | $4,897.79 | $16,218.10 | |
United
| Facility | $7,244.36 | $10,964.78 | $22,387.21 |