| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $3,235.94 | $4,897.79 | |
BCBS
| Facility | $363.08 | $363.08 | $363.08 | |
Health Alliance Plan
| Facility | $489.78 | $2,884.03 | $4,897.79 | |
United
| Facility | $9,332.54 | $16,218.10 | $36,307.81 |