| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $138.04 | $331.13 | $331.13 | |
Health Alliance Plan
| Facility | $891.25 | $2,187.76 | $4,897.79 | |
United
| Facility | $467.74 | $1,258.93 | $2,041.74 |