| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $58.88 | $186.21 | $186.21 | |
Health Alliance Plan
| Facility | $251.19 | $2,884.03 | $4,897.79 | |
United
| Facility | $1,513.56 | $3,981.07 | $7,244.36 |