| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.78 | $4,933.00 | $6,907.00 | |
BCBS
| Facility | $23,924.07 | $32,702.10 | $75,413.64 | |
Health Alliance Plan
| Facility | $533.16 | $4,933.00 | $6,906.00 | |
United
| Facility | $9,428.00 | $14,270.00 | $20,603.00 |