| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $937.13 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,442.60 | $4,018.55 | $5,474.37 | |
Health Alliance Plan
| Facility | $794.50 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |