| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $407.38 | $407.38 | $1,288.25 | |
Health Alliance Plan
| Facility | $1,412.54 | $3,801.89 | $4,897.79 | |
United
| Facility | $794.33 | $6,456.54 | $10,471.29 |