| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $998.35 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,807.41 | $4,150.77 | $5,563.98 | |
Health Alliance Plan
| Facility | $791.60 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |