| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,232.70 | $1,232.70 | $6,906.00 | |
BCBS
| Facility | $2,010.51 | $2,343.32 | $3,174.83 | |
Health Alliance Plan
| Facility | $1,086.39 | $1,232.70 | $6,906.00 | |
United
| Facility | $1,527.00 | $3,640.00 | $6,740.00 |