| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,981.07 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $794.33 | $4,677.35 | $4,677.35 | |
Health Alliance Plan
| Facility | $3,235.94 | $4,897.79 | $9,332.54 | |
United
| Facility | $691.83 | $3,548.13 | $6,025.60 |