| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $1,698.24 | $1,698.24 | $2,570.40 | |
Health Alliance Plan
| Facility | $1,445.44 | $4,897.79 | $6,918.31 | |
United
| Facility | $5,011.87 | $10,232.93 | $28,840.32 |