| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,265.80 | $4,897.79 | |
BCBS
| Facility | $524.81 | $794.33 | $794.33 | |
Health Alliance Plan
| Facility | $912.01 | $4,073.80 | $4,897.79 | |
United
| Facility | $2,398.83 | $4,786.30 | $8,709.64 |