| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,098.80 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,915.85 | $3,422.36 | $4,636.75 | |
Health Alliance Plan
| Facility | $795.63 | $2,056.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $8,514.00 | $12,209.00 |