| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $4,897.79 | $10,715.19 | |
BCBS
| Facility | $707.95 | $707.95 | $707.95 | |
Health Alliance Plan
| Facility | $1,000.00 | $4,897.79 | $10,715.19 | |
United
| Facility | $2,454.71 | $5,754.40 | $9,120.11 |