| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $5,754.40 | $6,918.31 | |
BCBS
| Facility | $851.14 | $851.14 | $851.14 | |
Health Alliance Plan
| Facility | $1,148.15 | $4,897.79 | $6,918.31 | |
United
| Facility | $2,570.40 | $5,623.41 | $9,120.11 |