| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $346.74 | $1,071.52 | $1,737.80 | |
Health Alliance Plan
| Facility | $1,479.11 | $4,897.79 | $5,754.40 | |
United
| Facility | $4,265.80 | $7,585.78 | $13,489.63 |