| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,428.80 | $5,757.00 | $11,016.21 | |
BCBS
| Facility | $10,402.83 | $12,143.24 | $16,542.43 | |
BCBS
| Facility | 50 | $5,643.94 | $7,659.41 | $10,787.11 |
Health Alliance Plan
| Facility | $1,296.26 | $5,757.00 | $9,904.19 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |