| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $208.93 | $331.13 | $331.13 | |
Health Alliance Plan
| Facility | $288.40 | $2,884.03 | $4,897.79 | |
United
| Facility | $3,311.31 | $6,918.31 | $15,135.61 |