| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $863.11 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,218.09 | $3,777.09 | $5,117.35 | |
Health Alliance Plan
| Facility | $735.76 | $863.11 | $4,933.00 | |
United
| Facility | $5,356.00 | $11,464.00 | $14,085.00 |