| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $6,918.31 | $20,417.38 | |
BCBS
| Facility | $186.21 | $186.21 | $186.21 | |
Health Alliance Plan
| Facility | $831.76 | $4,897.79 | $6,918.31 | |
United
| Facility | $5,011.87 | $10,471.29 | $26,302.68 |