| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $2,884.03 | $9,332.54 | |
BCBS
| Facility | $245.47 | $1,230.27 | $1,230.27 | |
Health Alliance Plan
| Facility | $851.14 | $2,884.03 | $6,918.31 | |
United
| Facility | $794.33 | $5,248.07 | $8,912.51 |