| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.12 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,508.17 | $1,760.49 | $2,398.27 | |
Health Alliance Plan
| Facility | $351.58 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |