| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $560.27 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,029.91 | $2,365.94 | $3,205.47 | |
Health Alliance Plan
| Facility | $436.07 | $4,933.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |