| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $878.00 | $1,229.88 | $6,907.00 | |
BCBS
| Facility | $14,789.28 | $17,358.27 | $23,517.69 | |
Health Alliance Plan
| Facility | $749.83 | $1,229.88 | $6,907.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |