| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $4,466.84 | $5,888.44 | |
BCBS
| Facility | $239.88 | $239.88 | $239.88 | |
Health Alliance Plan
| Facility | $245.47 | $3,388.44 | $5,888.44 | |
United
| Facility | $588.84 | $3,162.28 | $7,244.36 |