| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $1,258.93 | $1,258.93 | $1,995.26 | |
Health Alliance Plan
| Facility | $1,412.54 | $3,801.89 | $4,897.79 | |
United
| Facility | $691.83 | $3,548.13 | $6,025.60 |