| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $5,248.07 | $13,803.84 | |
BCBS
| Facility | $831.76 | $1,659.59 | $1,659.59 | |
Health Alliance Plan
| Facility | $870.96 | $5,128.61 | $12,589.25 | |
United
| Facility | $4,265.80 | $7,413.10 | $14,454.40 |