| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.50 | $2,530.50 | $7,485.05 | |
BCBS
| Facility | $2,091.04 | $2,440.88 | $3,325.15 | |
Health Alliance Plan
| Facility | $207.73 | $1,772.54 | $4,933.00 | |
United
| Facility | $1,527.00 | $4,857.00 | $6,327.00 |