| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $810.59 | $4,933.00 | $5,369.75 | |
BCBS
| Facility | $3,003.32 | $3,505.78 | $4,775.83 | |
Health Alliance Plan
| Facility | $649.20 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |