| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $9,549.93 | $36,307.81 | |
BCBS
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
Health Alliance Plan
| Facility | $1,905.46 | $7,244.36 | $30,902.95 | |
United
| Facility | $6,918.31 | $10,471.29 | $21,379.62 |