| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.50 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $21,872.52 | $25,671.91 | $34,781.35 | |
Health Alliance Plan
| Facility | $274.70 | $314.50 | $6,906.00 | |
United
| Facility | $464.00 | $1,247.00 | $2,029.00 |