| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.16 | $4,933.00 | $11,797.17 | |
BCBS
| Facility | $1,825.12 | $2,127.25 | $2,882.08 | |
Health Alliance Plan
| Facility | $416.82 | $2,308.50 | $4,948.04 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |