| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $566.80 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,049.96 | $2,802.11 | $6,461.89 | |
Health Alliance Plan
| Facility | $432.95 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |