| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $972.63 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,590.65 | $4,191.37 | $5,709.80 | |
Health Alliance Plan
| Facility | $821.71 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |