| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $386.93 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,379.14 | $1,609.88 | $2,193.09 | |
Health Alliance Plan
| Facility | $312.51 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,181.08 | $3,569.00 | $6,036.00 |