| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,910.15 | $1,910.15 | $6,906.00 | |
BCBS
| Facility | $2,733.56 | $3,186.06 | $4,316.60 | |
Health Alliance Plan
| Facility | $1,716.53 | $1,910.15 | $6,906.00 | |
United
| Facility | $2,524.00 | $5,806.00 | $8,884.00 |