| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $588.84 | $588.84 | $588.84 | |
Health Alliance Plan
| Facility | $851.14 | $2,884.03 | $4,897.79 | |
United
| Facility | $2,511.89 | $5,248.07 | $13,489.63 |