| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.56 | $4,933.00 | $12,207.26 | |
BCBS
| Facility | $3,682.88 | $4,299.03 | $5,856.46 | |
Health Alliance Plan
| Facility | $232.43 | $3,261.43 | $7,643.60 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |