| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $281.84 | $281.84 | $446.68 | |
Health Alliance Plan
| Facility | $398.11 | $2,884.03 | $4,897.79 | |
United
| Facility | $588.84 | $2,630.27 | $5,623.41 |