| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.86 | $1,533.60 | $4,933.00 | |
BCBS
| Facility | $446.15 | $659.63 | $910.68 | |
Health Alliance Plan
| Facility | $132.33 | $1,509.01 | $4,933.00 | |
United
| Facility | $300.00 | $1,438.00 | $1,844.00 |