| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,080.24 | $4,933.00 | $13,602.53 | |
BCBS
| Facility | $4,528.56 | $5,286.20 | $7,201.25 | |
Health Alliance Plan
| Facility | $926.31 | $4,933.00 | $7,475.25 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |