| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $970.80 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,401.12 | $3,991.92 | $5,408.41 | |
Health Alliance Plan
| Facility | $779.34 | $1,026.28 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |