| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $4,897.79 | $8,317.64 | |
BCBS
| Facility | $102.33 | $316.23 | $316.23 | |
Health Alliance Plan
| Facility | $426.58 | $4,073.80 | $10,471.29 | |
United
| Facility | $2,754.23 | $6,025.60 | $10,000.00 |