| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $776.25 | $1,258.93 | $1,258.93 | |
Health Alliance Plan
| Facility | $1,071.52 | $4,897.79 | $5,754.40 | |
United
| Facility | $4,570.88 | $9,120.11 | $15,848.93 |