| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $747.57 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,870.93 | $3,348.85 | $4,711.59 | |
Health Alliance Plan
| Facility | $631.16 | $747.57 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,780.00 | $10,556.00 |