| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.37 | $1,495.54 | $4,933.00 | |
BCBS
| Facility | $827.28 | $970.98 | $1,315.53 | |
Health Alliance Plan
| Facility | $180.12 | $1,495.54 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |