| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
Health Alliance Plan
| Facility | $1,258.93 | $4,073.80 | $4,897.79 | |
United
| Facility | $2,511.89 | $5,011.87 | $8,912.51 |