| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.43 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $812.40 | $1,169.21 | $1,840.46 | |
Health Alliance Plan
| Facility | $223.81 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,713.00 | $4,056.00 | $6,036.00 |