| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,897.79 | $5,370.32 | |
BCBS
| Facility | $331.13 | $331.13 | $331.13 | |
Health Alliance Plan
| Facility | $4,073.80 | $4,897.79 | $13,489.63 | |
United
| Facility | $4,265.80 | $9,120.11 | $14,791.08 |