| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $181.97 | $181.97 | $288.40 | |
Health Alliance Plan
| Facility | $229.09 | $2,884.03 | $4,897.79 | |
United
| Facility | $316.23 | $1,000.00 | $1,862.09 |