| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $4,897.79 | $14,125.38 | |
BCBS
| Facility | $1,174.90 | $1,778.28 | $1,778.28 | |
Health Alliance Plan
| Facility | $1,000.00 | $2,398.83 | $14,125.38 | |
United
| Facility | $5,495.41 | $10,964.78 | $22,387.21 |