| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $2,511.89 | $2,511.89 | $2,511.89 | |
Health Alliance Plan
| Facility | $2,137.96 | $4,897.79 | $6,918.31 | |
United
| Facility | $6,918.31 | $11,481.54 | $39,810.72 |