| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $251.19 | $1,479.11 | $2,238.72 | |
Health Alliance Plan
| Facility | $1,288.25 | $3,162.28 | $4,897.79 | |
United
| Facility | $1,819.70 | $4,265.80 | $7,244.36 |