| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,754.40 | $13,489.63 | |
BCBS
| Facility | $1,737.80 | $2,290.87 | $2,290.87 | |
Health Alliance Plan
| Facility | $1,905.46 | $5,754.40 | $13,489.63 | |
United
| Facility | $2,398.83 | $5,623.41 | $14,454.40 |