| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $39.81 | $39.81 | $199.53 | |
Health Alliance Plan
| Facility | $173.78 | $4,073.80 | $5,754.40 | |
United
| Facility | $467.74 | $1,258.93 | $2,041.74 |