| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $302.00 | $1,513.56 | $1,513.56 | |
Health Alliance Plan
| Facility | $1,047.13 | $2,818.38 | $4,897.79 | |
United
| Facility | $660.69 | $3,548.13 | $6,025.60 |