| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $26.30 | $26.30 | $95.50 | |
Health Alliance Plan
| Facility | $309.03 | $912.01 | $4,897.79 | |
United
| Facility | $588.84 | $3,019.95 | $6,025.60 |