| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $912.01 | $912.01 | $912.01 | |
Health Alliance Plan
| Facility | $616.60 | $2,884.03 | $4,897.79 | |
United
| Facility | $794.33 | $5,248.07 | $8,912.51 |