| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $868.78 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,294.55 | $3,845.73 | $5,238.95 | |
Health Alliance Plan
| Facility | $730.19 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,713.00 | $4,056.00 | $6,036.00 |