| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.04 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,354.98 | $2,748.99 | $3,744.88 | |
Health Alliance Plan
| Facility | $484.46 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,791.37 | $6,226.89 | $10,134.81 |