| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $4,073.80 | $6,918.31 | |
BCBS
| Facility | $316.23 | $316.23 | $776.25 | |
Health Alliance Plan
| Facility | $1,148.15 | $4,073.80 | $5,754.40 | |
United
| Facility | $5,011.87 | $20,417.38 | $61,659.50 |