| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.60 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $847.63 | $989.44 | $1,347.89 | |
Health Alliance Plan
| Facility | $180.61 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,713.00 | $4,056.00 | $6,036.00 |