| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.27 | $1,543.08 | $4,933.00 | |
BCBS
| Facility | $2,229.39 | $3,106.68 | $4,890.24 | |
BCBS
| Facility | 50 | $1,648.08 | $2,373.94 | $3,085.48 |
Health Alliance Plan
| Facility | $322.89 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |