| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $951.02 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $4,190.10 | $4,891.10 | $6,663.04 | |
Health Alliance Plan
| Facility | $771.74 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |