| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,897.79 | $11,220.18 | |
BCBS
| Facility | $112.20 | $131.83 | $1,000.00 | |
Health Alliance Plan
| Facility | $575.44 | $4,073.80 | $5,754.40 | |
United
| Facility | $1,348.96 | $4,365.16 | $7,244.36 |