| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.12 | $2,244.84 | $4,933.00 | |
BCBS
| Facility | $6,199.62 | $7,276.53 | $9,858.54 | |
Health Alliance Plan
| Facility | $674.13 | $2,244.84 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |