| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,105.49 | $4,933.00 | $5,665.38 | |
BCBS
| Facility | $656.64 | $896.94 | $2,066.83 | |
Health Alliance Plan
| Facility | $936.99 | $4,933.00 | $5,665.38 | |
United
| Facility | $773.00 | $3,005.00 | $4,594.00 |