| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.69 | $133.91 | $4,933.00 | |
BCBS
| Facility | $603.29 | $703.15 | $952.66 | |
Health Alliance Plan
| Facility | $119.53 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |