| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $4,073.80 | $5,128.61 | |
BCBS
| Facility | $204.17 | $1,548.82 | $1,548.82 | |
Health Alliance Plan
| Facility | $912.01 | $4,073.80 | $5,623.41 | |
United
| Facility | $2,570.40 | $8,128.31 | $12,302.69 |