| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,168.69 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $954.99 | $954.99 | $4,786.30 | |
Health Alliance Plan
| Facility | $2,630.27 | $4,897.79 | $7,762.47 | |
United
| Facility | $691.83 | $3,548.13 | $6,025.60 |