| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $695.46 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,505.71 | $3,425.08 | $7,898.51 | |
Health Alliance Plan
| Facility | $525.36 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |