| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $4,897.79 | $11,481.54 | |
BCBS
| Facility | $851.14 | $1,288.25 | $1,288.25 | |
Health Alliance Plan
| Facility | $758.58 | $4,897.79 | $10,471.29 | |
United
| Facility | $5,495.41 | $9,120.11 | $16,595.87 |