| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $954.99 | $954.99 | $1,513.56 | |
Health Alliance Plan
| Facility | $1,288.25 | $2,884.03 | $4,897.79 | |
United
| Facility | $707.95 | $6,309.57 | $10,471.29 |