| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $851.14 | $1,258.93 | $1,258.93 | |
Health Alliance Plan
| Facility | $741.31 | $4,073.80 | $5,754.40 | |
United
| Facility | $1,778.28 | $4,365.16 | $7,413.10 |