| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $912.01 | $1,445.44 | $1,445.44 | |
Health Alliance Plan
| Facility | $1,148.15 | $4,897.79 | $6,918.31 | |
United
| Facility | $3,311.31 | $7,762.47 | $13,182.57 |