| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $5,754.40 | $6,918.31 | |
BCBS
| Facility | $1,148.15 | $2,754.23 | $2,754.23 | |
Health Alliance Plan
| Facility | $3,162.28 | $4,897.79 | $7,762.47 | |
United
| Facility | $707.95 | $7,413.10 | $14,454.40 |