| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.59 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $842.76 | $989.16 | $1,340.15 | |
Health Alliance Plan
| Facility | $190.27 | $227.59 | $4,933.00 | |
United
| Facility | $850.00 | $3,869.00 | $6,036.00 |