| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.37 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,068.66 | $2,414.75 | $3,289.55 | |
Health Alliance Plan
| Facility | $267.64 | $2,056.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |