| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.68 | $2,349.11 | $4,933.00 | |
BCBS
| Facility | $1,676.90 | $1,968.19 | $2,666.59 | |
Health Alliance Plan
| Facility | $367.70 | $551.75 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |