| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $63.10 | $63.10 | $371.54 | |
Health Alliance Plan
| Facility | $316.23 | $2,884.03 | $4,897.79 | |
United
| Facility | $2,691.53 | $5,888.44 | $10,000.00 |