| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $2,089.30 | $4,897.79 | |
BCBS
| Facility | $56.23 | $56.23 | $56.23 | |
Health Alliance Plan
| Facility | $1,122.02 | $2,137.96 | $4,897.79 | |
United
| Facility | $954.99 | $2,511.89 | $5,495.41 |