| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.70 | $1,654.75 | $4,933.00 | |
BCBS
| Facility | $2,229.39 | $3,106.68 | $4,890.24 | |
BCBS
| Facility | 50 | $1,930.22 | $2,107.03 | $2,967.43 |
Health Alliance Plan
| Facility | $438.46 | $3,379.23 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |