| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $4,897.79 | $13,803.84 | |
BCBS
| Facility | $1,348.96 | $1,348.96 | $1,348.96 | |
Health Alliance Plan
| Facility | $1,230.27 | $4,365.16 | $11,481.54 | |
United
| Facility | $1,288.25 | $7,413.10 | $14,454.40 |