| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $162.18 | $501.19 | $501.19 | |
Health Alliance Plan
| Facility | $537.03 | $1,445.44 | $6,918.31 | |
United
| Facility | $630.96 | $4,365.16 | $7,762.47 |