| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $991.02 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,787.50 | $4,421.16 | $6,022.83 | |
Health Alliance Plan
| Facility | $867.86 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |