| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $398.11 | $398.11 | $398.11 | |
Health Alliance Plan
| Facility | $549.54 | $4,073.80 | $5,754.40 | |
United
| Facility | $1,513.56 | $3,235.94 | $6,309.57 |