| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $851.14 | $851.14 | |
BCBS
| Facility | $21,877.62 | $23,442.29 | $28,840.32 | |
Health Alliance Plan
| Facility | $851.14 | $851.14 | $851.14 | |
United
| Facility | $1,230.27 | $1,230.27 | $1,318.26 |