| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $765.21 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,271.76 | $3,358.81 | $4,637.16 | |
Health Alliance Plan
| Facility | $603.70 | $4,933.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |