| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $562.34 | $1,348.96 | $1,348.96 | |
Health Alliance Plan
| Facility | $758.58 | $4,073.80 | $5,754.40 | |
United
| Facility | $1,258.93 | $2,951.21 | $5,623.41 |