| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $956.56 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,057.84 | $3,569.42 | $4,862.53 | |
Health Alliance Plan
| Facility | $767.45 | $4,933.00 | $5,757.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |