| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $48.98 | $57.54 | $281.84 | |
Health Alliance Plan
| Facility | $831.76 | $2,511.89 | $4,897.79 | |
United
| Facility | $776.25 | $2,884.03 | $5,623.41 |