| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $675.14 | $675.14 | $4,933.00 | |
BCBS
| Facility | $2,745.86 | $3,200.40 | $4,336.03 | |
Health Alliance Plan
| Facility | $606.86 | $675.14 | $4,933.00 | |
United
| Facility | $1,713.00 | $3,869.00 | $6,327.00 |