| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $257.04 | $1,288.25 | $1,288.25 | |
Health Alliance Plan
| Facility | $870.96 | $2,344.23 | $4,897.79 | |
United
| Facility | $691.83 | $3,388.44 | $7,244.36 |