| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.06 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,481.94 | $4,157.67 | $5,878.86 | |
Cigna
| Facility | $595.50 | $595.50 | $595.50 | |
Health Alliance Plan
| Facility | $2,198.65 | $2,877.00 | $4,933.00 | |
United
| Facility | $5,000.00 | $10,192.00 | $12,767.00 |