| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.62 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,624.89 | $4,254.56 | $5,764.25 | |
Health Alliance Plan
| Facility | $750.75 | $921.62 | $6,906.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |