| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.38 | $4,933.00 | $8,361.00 | |
BCBS
| Facility | $4,114.72 | $5,733.47 | $8,879.04 | |
Health Alliance Plan
| Facility | $4,933.00 | $7,067.63 | $8,361.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |