| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $371.54 | $371.54 | $2,754.23 | |
Health Alliance Plan
| Facility | $1,548.82 | $3,890.45 | $6,918.31 | |
United
| Facility | $5,495.41 | $11,748.98 | $30,199.52 |