| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $870.96 | $870.96 | $1,288.25 | |
Health Alliance Plan
| Facility | $724.44 | $2,238.72 | $6,918.31 | |
United
| Facility | $2,570.40 | $5,623.41 | $9,120.11 |