| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.52 | $4,112.00 | $12,205.39 | |
BCBS
| Facility | $7,456.76 | $10,139.62 | $23,811.56 | |
Health Alliance Plan
| Facility | $416.58 | $4,112.00 | $5,756.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |