| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $229.09 | $1,348.96 | $1,348.96 | |
Health Alliance Plan
| Facility | $912.01 | $2,511.89 | $4,897.79 | |
United
| Facility | $602.56 | $3,548.13 | $6,025.60 |