| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.50 | $4,112.00 | $29,701.96 | |
BCBS
| Facility | $37,297.17 | $50,945.69 | $117,395.15 | |
Health Alliance Plan
| Facility | $391.07 | $4,112.00 | $6,906.00 | |
United
| Facility | $10,555.00 | $25,069.00 | $55,239.00 |