| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $645.65 | $645.65 | $1,548.82 | |
Health Alliance Plan
| Facility | $870.96 | $2,041.74 | $4,897.79 | |
United
| Facility | $467.74 | $1,288.25 | $4,265.80 |