| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $495.01 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $21,309.89 | $24,857.29 | $34,972.37 | |
Health Alliance Plan
| Facility | $390.74 | $4,112.00 | $4,933.00 | |
United
| Facility | $7,174.00 | $12,733.00 | $27,028.00 |