| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $973.10 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,491.31 | $4,069.25 | $5,513.19 | |
Health Alliance Plan
| Facility | $820.85 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,713.00 | $3,869.00 | $6,327.00 |