| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.35 | $634.42 | $4,933.00 | |
BCBS
| Facility | $43,374.68 | $50,909.13 | $68,973.78 | |
Health Alliance Plan
| Facility | $0.45 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |