| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.70 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,118.74 | $1,529.22 | $3,526.51 | |
Health Alliance Plan
| Facility | $236.16 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |