| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $4,897.79 | $5,495.41 | |
BCBS
| Facility | $316.23 | $316.23 | $512.86 | |
Health Alliance Plan
| Facility | $457.09 | $2,884.03 | $4,897.79 | |
United
| Facility | $1,445.44 | $3,235.94 | $6,309.57 |