| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $4,897.79 | $5,248.07 | |
BCBS
| Facility | $1,778.28 | $1,778.28 | $1,778.28 | |
Health Alliance Plan
| Facility | $1,071.52 | $4,897.79 | $6,918.31 | |
United
| Facility | $4,265.80 | $9,120.11 | $14,791.08 |