| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.46 | $4,933.00 | $21,742.94 | |
BCBS
| Facility | $45,791.70 | $62,593.22 | $144,344.97 | |
Health Alliance Plan
| Facility | $406.65 | $4,112.00 | $14,945.11 | |
United
| Facility | $10,555.00 | $25,069.00 | $55,239.00 |