| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $17.78 | $17.78 | $28.18 | |
Health Alliance Plan
| Facility | $23.99 | $72.44 | $4,897.79 | |
United
| Facility | $588.84 | $2,398.83 | $5,623.41 |