| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $456.23 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,661.27 | $1,936.27 | $2,623.34 | |
Health Alliance Plan
| Facility | $390.90 | $4,933.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |