| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Health Alliance Plan
| Facility | $1,288.25 | $3,090.30 | $6,918.31 | |
United
| Facility | $1,862.09 | $7,585.78 | $22,387.21 |