| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $1,412.54 | $1,412.54 | $2,238.72 | |
Health Alliance Plan
| Facility | $1,548.82 | $4,897.79 | $6,918.31 | |
United
| Facility | $691.83 | $3,548.13 | $6,025.60 |