| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $490.87 | $2,877.00 | $5,618.64 | |
BCBS
| Facility | $2,871.90 | $3,877.99 | $9,106.93 | |
Health Alliance Plan
| Facility | $347.48 | $2,877.00 | $5,618.64 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |