| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $77.62 | $77.62 | $77.62 | |
Health Alliance Plan
| Facility | $338.84 | $4,073.80 | $5,754.40 | |
United
| Facility | $4,265.80 | $7,585.78 | $13,803.84 |