| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $269.15 | $269.15 | $1,348.96 | |
Health Alliance Plan
| Facility | $1,230.27 | $3,311.31 | $4,897.79 | |
United
| Facility | $467.74 | $1,258.93 | $2,041.74 |