| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.73 | $4,112.00 | $7,477.09 | |
BCBS
| Facility | $1,961.68 | $2,302.44 | $3,119.44 | |
Health Alliance Plan
| Facility | $430.75 | $4,112.00 | $7,477.09 | |
United
| Facility | $1,181.08 | $4,835.00 | $7,355.00 |