| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $204.17 | $239.88 | $741.31 | |
Health Alliance Plan
| Facility | $812.83 | $2,398.83 | $6,918.31 | |
United
| Facility | $660.69 | $5,011.87 | $12,882.50 |