| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $549.54 | $1,318.26 | $1,318.26 | |
Health Alliance Plan
| Facility | $602.56 | $1,862.09 | $6,918.31 | |
United
| Facility | $794.33 | $5,754.40 | $9,549.93 |