| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,496.97 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $15,641.86 | $18,358.95 | $24,873.46 | |
Health Alliance Plan
| Facility | $1,090.26 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |