| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $645.65 | $645.65 | $1,047.13 | |
Health Alliance Plan
| Facility | $831.76 | $2,187.76 | $4,897.79 | |
United
| Facility | $1,698.24 | $3,890.45 | $6,025.60 |