| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $794.33 | $794.33 | $794.33 | |
Health Alliance Plan
| Facility | $870.96 | $2,884.03 | $4,897.79 | |
United
| Facility | $588.84 | $3,235.94 | $6,165.95 |