| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.91 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $822.76 | $960.41 | $1,308.33 | |
Health Alliance Plan
| Facility | $87.94 | $2,056.00 | $4,933.00 | |
United
| Facility | $484.60 | $2,704.00 | $4,504.00 |