| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $257.04 | $933.25 | $933.25 | |
Health Alliance Plan
| Facility | $1,023.29 | $2,754.23 | $6,918.31 | |
United
| Facility | $831.76 | $4,897.79 | $12,022.64 |