| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $48.98 | $288.40 | $288.40 | |
Health Alliance Plan
| Facility | $257.04 | $2,884.03 | $4,897.79 | |
United
| Facility | $2,884.03 | $6,165.95 | $10,471.29 |