| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.02 | $902.59 | $4,933.00 | |
BCBS
| Facility | $2,699.06 | $3,167.90 | $4,292.00 | |
Health Alliance Plan
| Facility | $617.66 | $1,892.54 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |