| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $4,073.80 | $7,585.78 | |
BCBS
| Facility | $1,584.89 | $2,344.23 | $2,344.23 | |
Health Alliance Plan
| Facility | $1,202.26 | $4,073.80 | $8,128.31 | |
United
| Facility | $5,495.41 | $9,120.11 | $16,595.87 |