| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $208.93 | $208.93 | $1,230.27 | |
Health Alliance Plan
| Facility | $977.24 | $2,454.71 | $4,897.79 | |
United
| Facility | $2,511.89 | $3,801.89 | $7,244.36 |