| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $703.37 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $2,627.50 | $3,067.08 | $4,178.20 | |
Health Alliance Plan
| Facility | $584.73 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |