| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.57 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,215.48 | $1,797.10 | $2,481.07 | |
Health Alliance Plan
| Facility | $347.73 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |