| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $767.05 | $1,025.85 | $14,993.72 | |
BCBS
| Facility | $5,954.15 | $6,988.42 | $9,468.20 | |
Health Alliance Plan
| Facility | $767.05 | $1,025.85 | $14,993.72 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |