| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $4,897.79 | $11,481.54 | |
BCBS
| Facility | $134.90 | $794.33 | $794.33 | |
Health Alliance Plan
| Facility | $645.65 | $2,884.03 | $4,897.79 | |
United
| Facility | $4,570.88 | $9,120.11 | $15,848.93 |