| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $630.96 | $954.99 | $954.99 | |
Health Alliance Plan
| Facility | $616.60 | $4,073.80 | $4,897.79 | |
United
| Facility | $2,398.83 | $4,786.30 | $8,709.64 |