| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.00 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $49,219.51 | $57,769.23 | $78,268.13 | |
Health Alliance Plan
| Facility | $349.07 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,449.00 |