| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $5,754.40 | $8,128.31 | |
BCBS
| Facility | $2,238.72 | $2,238.72 | $2,238.72 | |
Health Alliance Plan
| Facility | $1,905.46 | $4,897.79 | $6,918.31 | |
United
| Facility | $1,288.25 | $10,000.00 | $22,387.21 |