| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.93 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $550.58 | $759.10 | $1,187.16 | |
BCBS
| Facility | 50 | $400.09 | $511.50 | $710.15 |
Health Alliance Plan
| Facility | $859.90 | $2,056.00 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,504.00 |