| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $833.01 | $833.01 | $4,933.00 | |
BCBS
| Facility | $3,357.95 | $3,916.94 | $5,510.85 | |
Health Alliance Plan
| Facility | $740.27 | $833.01 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |