| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $629.94 | $4,933.00 | $10,739.96 | |
BCBS
| Facility | $4,738.83 | $5,531.64 | $7,535.62 | |
Health Alliance Plan
| Facility | $532.98 | $4,933.00 | $5,757.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |