| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $616.60 | $724.44 | $724.44 | |
Health Alliance Plan
| Facility | $3,162.28 | $5,754.40 | $7,585.78 | |
United
| Facility | $6,918.31 | $11,481.54 | $39,810.72 |