| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $814.02 | $4,933.00 | $9,588.35 | |
BCBS
| Facility | $5,935.74 | $6,928.79 | $9,438.92 | |
Health Alliance Plan
| Facility | $707.85 | $4,933.00 | $8,060.00 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |