| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.32 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $28,705.34 | $33,691.62 | $45,646.80 | |
Health Alliance Plan
| Facility | $299.35 | $2,056.00 | $4,933.00 | |
United
| Facility | $4,000.00 | $12,544.00 | $31,629.00 |