| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $616.60 | $616.60 | $977.24 | |
Health Alliance Plan
| Facility | $758.58 | $2,041.74 | $4,897.79 | |
United
| Facility | $3,019.95 | $6,456.54 | $10,471.29 |