| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $5,754.40 | $8,128.31 | |
BCBS
| Facility | $190.55 | $190.55 | $1,412.54 | |
Health Alliance Plan
| Facility | $794.33 | $4,897.79 | $6,918.31 | |
United
| Facility | $2,570.40 | $6,309.57 | $10,471.29 |