| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $467.74 | $741.31 | $741.31 | |
Health Alliance Plan
| Facility | $676.08 | $4,073.80 | $5,754.40 | |
United
| Facility | $7,413.10 | $11,481.54 | $23,442.29 |