| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $5,011.87 | $6,606.93 | $10,471.29 | |
BCBS
| Facility | 50 | $2,884.03 | $4,570.88 | $6,760.83 |
Health Alliance Plan
| Facility | $323.59 | $4,073.80 | $4,897.79 | |
United
| Facility | $2,691.53 | $5,888.44 | $10,000.00 |