| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.01 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,133.73 | $1,321.40 | $1,790.29 | |
Health Alliance Plan
| Facility | $267.61 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |