| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $969.26 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,714.31 | $4,335.72 | $5,906.44 | |
Health Alliance Plan
| Facility | $835.51 | $4,933.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |