| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.99 | $4,538.00 | $7,964.65 | |
BCBS
| Facility | $3,285.54 | $3,856.26 | $5,224.62 | |
Health Alliance Plan
| Facility | $483.14 | $4,453.31 | $7,964.65 | |
United
| Facility | $1,450.00 | $5,202.00 | $7,355.00 |