| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $1,584.89 | $3,311.31 | $3,311.31 | |
Health Alliance Plan
| Facility | $2,570.40 | $4,897.79 | $6,309.57 | |
United
| Facility | $6,025.60 | $7,585.78 | $13,803.84 |