| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $4,073.80 | $6,025.60 | |
BCBS
| Facility | $173.78 | $630.96 | $1,000.00 | |
Health Alliance Plan
| Facility | $891.25 | $4,073.80 | $6,025.60 | |
United
| Facility | $2,238.72 | $4,786.30 | $8,317.64 |