| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.82 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $17,858.04 | $20,814.16 | $28,199.89 | |
Health Alliance Plan
| Facility | $516.72 | $4,933.00 | $6,853.00 | |
United
| Facility | $8,301.00 | $12,831.00 | $27,028.00 |