| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $5,754.40 | $8,128.31 | |
BCBS
| Facility | $870.96 | $870.96 | $1,380.38 | |
Health Alliance Plan
| Facility | $2,398.83 | $4,897.79 | $8,128.31 | |
United
| Facility | $5,011.87 | $10,000.00 | $21,379.62 |