| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.79 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,442.90 | $1,683.10 | $2,367.98 | |
Health Alliance Plan
| Facility | $322.62 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |