| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $5,754.40 | $11,481.54 | |
BCBS
| Facility | $173.78 | $549.54 | $549.54 | |
Health Alliance Plan
| Facility | $602.56 | $4,897.79 | $9,332.54 | |
United
| Facility | $1,023.29 | $8,317.64 | $15,848.93 |