| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
BCBS
| Facility | $645.65 | $3,311.31 | $3,311.31 | |
Health Alliance Plan
| Facility | $2,818.38 | $8,128.31 | $9,120.11 | |
United
| Facility | $1,905.46 | $3,162.28 | $6,025.60 |