| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $5,248.07 | $8,128.31 | |
BCBS
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
Health Alliance Plan
| Facility | $1,348.96 | $4,897.79 | $8,128.31 | |
United
| Facility | $4,265.80 | $7,585.78 | $13,489.63 |