| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $194.98 | $194.98 | $1,148.15 | |
Health Alliance Plan
| Facility | $954.99 | $2,290.87 | $6,918.31 | |
United
| Facility | $3,311.31 | $6,606.93 | $14,454.40 |