| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $346.74 | $1,737.80 | $1,737.80 | |
Health Alliance Plan
| Facility | $1,445.44 | $3,548.13 | $4,897.79 | |
United
| Facility | $5,754.40 | $7,244.36 | $13,803.84 |