| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $868.93 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,665.19 | $3,570.71 | $5,524.22 | |
Health Alliance Plan
| Facility | $726.62 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |