| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $1,047.13 | $1,047.13 | $1,047.13 | |
Health Alliance Plan
| Facility | $912.01 | $1,995.26 | $6,918.31 | |
United
| Facility | $1,778.28 | $4,365.16 | $7,413.10 |