| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $104.71 | $524.81 | $524.81 | |
Health Alliance Plan
| Facility | $407.38 | $4,073.80 | $5,754.40 | |
United
| Facility | $3,890.45 | $7,413.10 | $12,882.50 |