| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $134.90 | $134.90 | $501.19 | |
Health Alliance Plan
| Facility | $676.08 | $4,073.80 | $5,754.40 | |
United
| Facility | $6,918.31 | $10,964.78 | $26,302.68 |