| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,390.40 | $1,390.40 | $6,906.00 | |
BCBS
| Facility | $2,745.07 | $3,202.03 | $4,505.02 | |
Health Alliance Plan
| Facility | $1,229.86 | $1,390.40 | $6,906.00 | |
United
| Facility | $3,296.00 | $7,780.00 | $10,556.00 |