| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $959.60 | $4,933.00 | $43,792.59 | |
BCBS
| Facility | $21,748.82 | $25,387.42 | $34,584.65 | |
Health Alliance Plan
| Facility | $774.00 | $4,933.00 | $18,054.80 | |
United
| Facility | $7,489.00 | $12,457.00 | $14,805.00 |