| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.45 | $1,933.33 | $4,933.00 | |
BCBS
| Facility | $1,581.52 | $2,338.28 | $3,228.23 | |
Health Alliance Plan
| Facility | $142.13 | $1,958.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |