| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.67 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,534.76 | $2,975.06 | $4,030.74 | |
Health Alliance Plan
| Facility | $568.35 | $671.67 | $6,906.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |