| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.06 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,260.86 | $1,471.82 | $2,005.02 | |
Health Alliance Plan
| Facility | $280.89 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |