| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,467.37 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $100.00 | $100.00 | $758.58 | |
Health Alliance Plan
| Facility | $3,388.44 | $4,897.79 | $9,332.54 | |
United
| Facility | $4,570.88 | $9,120.11 | $15,848.93 |