| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $51.29 | $302.00 | $302.00 | |
Health Alliance Plan
| Facility | $257.04 | $2,884.03 | $4,897.79 | |
United
| Facility | $3,311.31 | $6,918.31 | $15,135.61 |