| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $534.51 | $4,660.49 | $4,933.00 | |
BCBS
| Facility | $105.40 | $387.49 | $15,413.71 | |
Health Alliance Plan
| Facility | $440.56 | $544.14 | $14,416.09 | |
United
| Facility | $6,086.00 | $8,847.00 | $14,871.00 |