| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $630.96 | $741.31 | $2,290.87 | |
Health Alliance Plan
| Facility | $2,570.40 | $4,897.79 | $7,413.10 | |
United
| Facility | $691.83 | $3,548.13 | $6,025.60 |