| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $257.04 | $1,288.25 | $1,288.25 | |
Health Alliance Plan
| Facility | $891.25 | $2,884.03 | $4,897.79 | |
United
| Facility | $794.33 | $5,754.40 | $9,549.93 |