| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $4,897.79 | $12,589.25 | |
BCBS
| Facility | $676.08 | $1,659.59 | $1,659.59 | |
Health Alliance Plan
| Facility | $912.01 | $4,897.79 | $6,918.31 | |
United
| Facility | $2,570.40 | $5,623.41 | $9,120.11 |