| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $341.53 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,243.79 | $1,450.84 | $2,041.23 | |
Health Alliance Plan
| Facility | $287.07 | $4,933.00 | $4,933.00 | |
United
| Facility | $9,428.00 | $14,270.00 | $20,603.00 |