| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.63 | $5,716.39 | $12,693.50 | |
BCBS
| Facility | $4,155.01 | $6,143.19 | $8,481.28 | |
Health Alliance Plan
| Facility | $423.62 | $4,933.00 | $14,072.17 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,351.00 |