| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $263.03 | $263.03 | $263.03 | |
Health Alliance Plan
| Facility | $213.80 | $4,897.79 | $6,918.31 | |
United
| Facility | $1,288.25 | $3,019.95 | $6,025.60 |