| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $5,754.40 | $6,025.60 | |
BCBS
| Facility | $707.95 | $707.95 | $1,148.15 | |
Health Alliance Plan
| Facility | $954.99 | $4,897.79 | $6,025.60 | |
United
| Facility | $4,073.80 | $6,025.60 | $10,232.93 |