| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.85 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,694.06 | $1,974.48 | $2,675.11 | |
Health Alliance Plan
| Facility | $394.98 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |