| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $30.90 | $30.90 | $30.90 | |
Health Alliance Plan
| Facility | $43.65 | $2,041.74 | $4,897.79 | |
United
| Facility | $9,332.54 | $12,302.69 | $16,982.44 |