| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.29 | $2,354.07 | $4,933.00 | |
BCBS
| Facility | $1,521.77 | $2,098.12 | $3,281.26 | |
BCBS
| Facility | 50 | $1,213.59 | $1,592.87 | $2,070.29 |
Health Alliance Plan
| Facility | $327.07 | $1,758.50 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |