| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $536.35 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,178.65 | $2,586.88 | $3,553.02 | |
Health Alliance Plan
| Facility | $521.35 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |