| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $169.82 | $169.82 | $1,479.11 | |
Health Alliance Plan
| Facility | $831.76 | $2,238.72 | $6,918.31 | |
United
| Facility | $5,495.41 | $9,120.11 | $16,595.87 |