| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.67 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,243.98 | $1,460.06 | $1,978.15 | |
Health Alliance Plan
| Facility | $667.20 | $2,056.00 | $4,933.00 | |
United
| Facility | $648.98 | $2,283.00 | $4,504.00 |