| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,801.89 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $891.25 | $4,466.84 | $4,466.84 | |
Health Alliance Plan
| Facility | $3,090.30 | $4,897.79 | $8,912.51 | |
United
| Facility | $691.83 | $3,548.13 | $6,025.60 |