| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $33,884.42 | |
BCBS
| Facility | $120.23 | $436.52 | $436.52 | |
Health Alliance Plan
| Facility | $630.96 | $4,897.79 | $28,840.32 | |
United
| Facility | $9,332.54 | $16,218.10 | $43,651.58 |