| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $213.80 | $660.69 | $1,584.89 | |
Health Alliance Plan
| Facility | $912.01 | $4,897.79 | $6,918.31 | |
United
| Facility | $4,265.80 | $7,585.78 | $13,489.63 |