| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.16 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,740.64 | $2,573.53 | $3,553.02 | |
Health Alliance Plan
| Facility | $534.08 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,999.08 | $5,708.00 | $7,719.51 |