| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $3,162.28 | $7,585.78 | |
BCBS
| Facility | $302.00 | $1,513.56 | $1,513.56 | |
Health Alliance Plan
| Facility | $1,258.93 | $3,162.28 | $8,709.64 | |
United
| Facility | $5,495.41 | $9,120.11 | $16,595.87 |