| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.11 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,114.83 | $3,160.93 | $4,902.17 | |
Health Alliance Plan
| Facility | $1,279.82 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |