| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.25 | $429.16 | $6,569.30 | |
BCBS
| Facility | $32,895.65 | $38,609.83 | $52,310.18 | |
Health Alliance Plan
| Facility | $212.25 | $2,877.00 | $8,229.74 | |
United
| Facility | $6,798.00 | $17,263.00 | $31,629.00 |