| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $481.00 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,775.00 | $2,071.96 | $2,822.58 | |
Health Alliance Plan
| Facility | $410.86 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |