| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,088.25 | $1,128.56 | $6,906.00 | |
BCBS
| Facility | $2,303.57 | $2,684.89 | $3,637.60 | |
Health Alliance Plan
| Facility | $863.37 | $1,088.25 | $6,906.00 | |
United
| Facility | $1,450.00 | $4,985.00 | $8,339.00 |