| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.84 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $676.79 | $794.35 | $1,076.22 | |
Health Alliance Plan
| Facility | $152.03 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |