| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $134.90 | $676.08 | $676.08 | |
Health Alliance Plan
| Facility | $1,122.02 | $2,290.87 | $5,754.40 | |
United
| Facility | $5,128.61 | $9,549.93 | $16,982.44 |