| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $4,897.79 | $6,025.60 | |
BCBS
| Facility | $812.83 | $1,230.27 | $1,230.27 | |
Health Alliance Plan
| Facility | $758.58 | $4,073.80 | $6,025.60 | |
United
| Facility | $2,238.72 | $4,786.30 | $8,128.31 |