| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.61 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $709.42 | $826.85 | $1,120.25 | |
Health Alliance Plan
| Facility | $168.26 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |