| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.50 | $3,033.79 | $9,180.82 | |
BCBS
| Facility | $4,410.68 | $5,955.84 | $13,986.51 | |
Health Alliance Plan
| Facility | $508.50 | $4,680.02 | $9,180.82 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |