| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $2,570.40 | $3,311.31 | $3,311.31 | |
Health Alliance Plan
| Facility | $1,698.24 | $4,897.79 | $5,754.40 | |
United
| Facility | $4,073.80 | $8,709.64 | $16,595.87 |