| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $316.23 | $977.24 | $2,344.23 | |
Health Alliance Plan
| Facility | $1,348.96 | $3,388.44 | $4,897.79 | |
United
| Facility | $5,011.87 | $6,918.31 | $12,882.50 |