| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.52 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $876.85 | $1,296.43 | $1,737.83 | |
Health Alliance Plan
| Facility | $497.94 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |