| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $194.98 | $194.98 | $977.24 | |
Health Alliance Plan
| Facility | $812.83 | $2,884.03 | $4,897.79 | |
United
| Facility | $2,398.83 | $5,623.41 | $14,454.40 |