| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $865.98 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,111.23 | $3,626.25 | $4,912.99 | |
Health Alliance Plan
| Facility | $729.78 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |