| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $43.65 | $257.04 | $257.04 | |
Health Alliance Plan
| Facility | $181.97 | $2,041.74 | $4,897.79 | |
United
| Facility | $588.84 | $3,019.95 | $6,025.60 |