| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $995.31 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,480.66 | $4,060.08 | $5,712.23 | |
Health Alliance Plan
| Facility | $804.80 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |