| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $910.29 | $4,152.41 | $4,933.00 | |
BCBS
| Facility | $2,932.51 | $3,441.90 | $4,663.22 | |
Health Alliance Plan
| Facility | $756.93 | $1,770.06 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |