| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $434.33 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,444.48 | $2,869.12 | $3,887.20 | |
Health Alliance Plan
| Facility | $327.78 | $434.33 | $6,906.00 | |
United
| Facility | $1,006.00 | $3,569.00 | $6,327.00 |