| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.67 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,362.30 | $2,772.65 | $3,756.50 | |
Health Alliance Plan
| Facility | $543.52 | $646.67 | $6,906.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |