| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.35 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,219.67 | $2,635.59 | $3,619.92 | |
Health Alliance Plan
| Facility | $201.05 | $2,877.00 | $4,933.00 | |
United
| Facility | $590.00 | $3,523.00 | $6,029.00 |