| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $793.52 | $4,933.00 | $13,265.14 | |
BCBS
| Facility | $2,871.90 | $3,877.99 | $9,106.93 | |
Health Alliance Plan
| Facility | $638.08 | $4,933.00 | $10,781.25 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |