| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $44.67 | $223.87 | $338.84 | |
Health Alliance Plan
| Facility | $186.21 | $2,041.74 | $4,897.79 | |
United
| Facility | $2,511.89 | $5,011.87 | $9,332.54 |