| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $696.62 | $4,933.00 | $9,124.20 | |
BCBS
| Facility | $2,871.90 | $3,877.99 | $9,106.93 | |
Health Alliance Plan
| Facility | $532.75 | $4,345.71 | $9,056.32 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |