| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $61.66 | $72.44 | $363.08 | |
Health Alliance Plan
| Facility | $309.03 | $2,884.03 | $4,897.79 | |
United
| Facility | $1,621.81 | $4,365.16 | $7,244.36 |