| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.83 | $481.62 | $4,933.00 | |
BCBS
| Facility | $2,083.16 | $2,428.00 | $3,289.55 | |
Health Alliance Plan
| Facility | $366.45 | $606.84 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,806.00 | $8,884.00 |