| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.67 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $1,394.28 | $1,636.47 | $2,217.16 | |
Health Alliance Plan
| Facility | $315.94 | $382.67 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |