| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,754.23 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $2,041.74 | $3,235.94 | $3,235.94 | |
Health Alliance Plan
| Facility | $2,238.72 | $4,897.79 | $6,606.93 | |
United
| Facility | $691.83 | $3,548.13 | $6,025.60 |