| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $3,548.13 | $6,918.31 | |
BCBS
| Facility | $389.05 | $933.25 | $933.25 | |
Health Alliance Plan
| Facility | $524.81 | $2,691.53 | $6,918.31 | |
United
| Facility | $1,258.93 | $2,951.21 | $5,623.41 |