| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $907.58 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,250.63 | $1,849.06 | $2,552.81 | |
Health Alliance Plan
| Facility | $723.48 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |