| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,474.82 | $1,474.82 | $1,531.55 | |
BCBS
| Facility | $5,349.36 | $6,278.57 | $8,506.46 | |
Health Alliance Plan
| Facility | $1,181.84 | $1,181.84 | $1,474.82 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |