| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $1,318.26 | $1,318.26 | $1,995.26 | |
Health Alliance Plan
| Facility | $1,202.26 | $4,897.79 | $6,918.31 | |
United
| Facility | $4,265.80 | $9,120.11 | $14,791.08 |