| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $257.04 | $1,513.56 | $1,513.56 | |
Health Alliance Plan
| Facility | $1,318.26 | $4,073.80 | $4,897.79 | |
United
| Facility | $3,162.28 | $7,079.46 | $10,964.78 |