| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.63 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,851.90 | $3,347.30 | $4,535.05 | |
Health Alliance Plan
| Facility | $455.63 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $6,649.00 | $8,911.00 |