| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $1,548.82 | $1,548.82 | $1,548.82 | |
Health Alliance Plan
| Facility | $870.96 | $4,073.80 | $5,754.40 | |
United
| Facility | $1,258.93 | $3,981.07 | $7,244.36 |