| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $445.09 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $1,936.97 | $2,273.42 | $3,080.14 | |
Health Alliance Plan
| Facility | $350.74 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |