| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,778.28 | $3,467.37 | |
BCBS
| Facility | $724.44 | $724.44 | $1,071.52 | |
Health Alliance Plan
| Facility | $630.96 | $1,548.82 | $4,073.80 | |
United
| Facility | $467.74 | $1,288.25 | $4,265.80 |