| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $435.50 | $1,279.79 | $4,933.00 | |
BCBS
| Facility | $2,444.48 | $2,869.12 | $3,887.20 | |
Health Alliance Plan
| Facility | $435.50 | $1,279.79 | $4,933.00 | |
United
| Facility | $2,248.00 | $5,202.00 | $7,355.00 |