| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $870.96 | $870.96 | $870.96 | |
Health Alliance Plan
| Facility | $741.31 | $4,897.79 | $6,918.31 | |
United
| Facility | $6,918.31 | $10,471.29 | $23,442.29 |