| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $218.78 | $1,096.48 | $1,096.48 | |
Health Alliance Plan
| Facility | $1,000.00 | $4,073.80 | $4,897.79 | |
United
| Facility | $1,445.44 | $3,235.94 | $6,309.57 |