| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $41.69 | $41.69 | $245.47 | |
Health Alliance Plan
| Facility | $194.98 | $2,041.74 | $4,897.79 | |
United
| Facility | $467.74 | $1,258.93 | $2,041.74 |