| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.87 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,540.71 | $1,808.34 | $2,450.02 | |
Health Alliance Plan
| Facility | $351.17 | $415.87 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |