| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.74 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $348.23 | $514.85 | $690.15 | |
Health Alliance Plan
| Facility | $367.52 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,569.00 | $6,036.00 |