| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.21 | $2,056.00 | $11,505.61 | |
BCBS
| Facility | $32,823.33 | $38,524.94 | $52,195.19 | |
Health Alliance Plan
| Facility | $504.55 | $2,056.00 | $6,906.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,449.00 |