| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.77 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,222.42 | $1,425.92 | $2,006.16 | |
Health Alliance Plan
| Facility | $246.77 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,820.00 | $4,056.00 | $6,327.00 |