| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $4,897.79 | $5,888.44 | |
BCBS
| Facility | $977.24 | $977.24 | $977.24 | |
Health Alliance Plan
| Facility | $1,348.96 | $4,897.79 | $6,918.31 | |
United
| Facility | $1,348.96 | $3,235.94 | $7,585.78 |