| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.27 | $4,797.00 | $4,933.00 | |
BCBS
| Facility | $1,046.18 | $1,219.34 | $1,652.03 | |
Health Alliance Plan
| Facility | $244.96 | $4,797.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |