| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $1,000.00 | $1,513.56 | $1,513.56 | |
Health Alliance Plan
| Facility | $724.44 | $2,884.03 | $4,897.79 | |
United
| Facility | $4,570.88 | $9,120.11 | $15,848.93 |