| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $2,089.30 | $3,090.30 | $3,090.30 | |
Health Alliance Plan
| Facility | $1,819.70 | $4,897.79 | $6,918.31 | |
United
| Facility | $5,011.87 | $12,022.64 | $25,118.86 |