| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $870.96 | $870.96 | $1,318.26 | |
Health Alliance Plan
| Facility | $724.44 | $2,884.03 | $4,897.79 | |
United
| Facility | $3,311.31 | $6,606.93 | $14,454.40 |