| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.39 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,375.82 | $1,879.28 | $4,330.47 | |
Health Alliance Plan
| Facility | $287.88 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |