| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $1,545.00 | $2,106.00 | |
BCBS
| Facility | $425.00 | $425.00 | $7,825.00 | |
Health Alliance Plan
| Facility | $1,300.00 | $1,545.00 | $2,106.00 | |
United
| Facility | $1,039.00 | $1,039.00 | $1,039.00 |