| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.01 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,539.94 | $1,796.29 | $2,527.23 | |
Health Alliance Plan
| Facility | $362.77 | $4,933.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |