| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $544.25 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,573.96 | $3,021.07 | $4,093.07 | |
Health Alliance Plan
| Facility | $421.49 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |