| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.48 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $372.56 | $434.89 | $592.44 | |
Health Alliance Plan
| Facility | $87.26 | $2,877.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,247.00 | $1,844.00 |