| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $354.81 | $467.74 | $467.74 | |
Health Alliance Plan
| Facility | $363.08 | $2,041.74 | $4,897.79 | |
United
| Facility | $467.74 | $1,288.25 | $1,862.09 |