| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $631.26 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,290.17 | $3,130.48 | $7,219.13 | |
Health Alliance Plan
| Facility | $483.81 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |