| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.90 | $1,532.65 | $4,933.00 | |
BCBS
| Facility | $3,401.83 | $3,992.75 | $5,409.54 | |
Health Alliance Plan
| Facility | $160.90 | $1,532.65 | $4,933.00 | |
United
| Facility | $2,500.00 | $5,814.00 | $8,738.00 |