| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.91 | $4,933.00 | $6,138.29 | |
BCBS
| Facility | $3,272.79 | $4,473.62 | $10,316.52 | |
Health Alliance Plan
| Facility | $237.49 | $4,933.00 | $6,138.29 | |
United
| Facility | $3,296.00 | $7,780.00 | $10,556.00 |