| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.88 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,418.79 | $1,653.65 | $2,240.42 | |
Health Alliance Plan
| Facility | $293.94 | $4,933.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |