| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.29 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,141.80 | $1,560.75 | $3,599.20 | |
Health Alliance Plan
| Facility | $242.62 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |