| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $263.03 | $1,318.26 | $1,318.26 | |
Health Alliance Plan
| Facility | $912.01 | $2,454.71 | $4,897.79 | |
United
| Facility | $602.56 | $3,548.13 | $6,025.60 |