| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $416.87 | $1,548.82 | $2,454.71 | |
Health Alliance Plan
| Facility | $2,137.96 | $4,897.79 | $5,248.07 | |
United
| Facility | $6,606.93 | $7,585.78 | $13,803.84 |