| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $6,606.93 | $13,182.57 | |
BCBS
| Facility | $512.86 | $1,584.89 | $2,511.89 | |
Health Alliance Plan
| Facility | $1,445.44 | $4,897.79 | $11,748.98 | |
United
| Facility | $1,148.15 | $7,762.47 | $17,378.01 |