| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $4,897.79 | $8,912.51 | |
BCBS
| Facility | $1,023.29 | $1,023.29 | $1,513.56 | |
Health Alliance Plan
| Facility | $851.14 | $4,073.80 | $5,754.40 | |
United
| Facility | $4,265.80 | $7,413.10 | $14,454.40 |