| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $602.56 | $602.56 | $977.24 | |
Health Alliance Plan
| Facility | $676.08 | $4,073.80 | $4,897.79 | |
United
| Facility | $891.25 | $7,079.46 | $12,882.50 |