| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $416.87 | $416.87 | $1,288.25 | |
Health Alliance Plan
| Facility | $1,778.28 | $4,897.79 | $6,918.31 | |
United
| Facility | $6,918.31 | $11,481.54 | $39,810.72 |