| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $537.03 | $2,691.53 | $2,691.53 | |
Health Alliance Plan
| Facility | $2,344.23 | $5,128.61 | $6,918.31 | |
United
| Facility | $6,918.31 | $11,481.54 | $28,840.32 |